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Organization

SPEARFISH VISION WORKS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN KEITH GILL O.D. (PRESIDENT)
(605) 484-1977
Entity
Organization

Contact information

Practice address
2825 1ST AVE, SPEARFISH, SD 57783-3261
(605) 642-3865
(605) 642-3891
Mailing address
2825 1ST AVE, SPEARFISH, SD 57783-3261
(605) 642-3865
(605) 642-3891

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
624
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285657742
NPI (PERSONAL)
SD
Enumeration date
08/31/2006
Last updated
12/20/2007
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