Organization
SOUTHERN HILLS EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS ROY VANNATTA OD (PRESIDENT)
(712) 271-4600
Entity
Organization
Contact information
Practice address
4600 SINGING HILLS BLVD, SIOUX CITY, IA 51106-9702
(712) 271-4600
(712) 271-4604
Mailing address
4600 SINGING HILLS BLVD, SIOUX CITY, IA 51106-9702
(712) 271-4600
(712) 271-4604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1725
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176289
—
IA
Enumeration date
10/06/2006
Last updated
07/01/2008
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