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Organization

SPECTACLE SHOP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAILEY LYNN SCHELLING (PRACTICE MANAGER)
(605) 665-9638
Entity
Organization

Contact information

Practice address
817 MAIN ST, CREIGHTON, NE 68729-4003
(402) 358-3700
(402) 358-3700
Mailing address
415 W 3RD ST, YANKTON, SD 57078-4201

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/03/2023
Last updated
09/19/2023
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Product
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  • Eligibility checks
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