Organization
HANSON- MORAN EYE CLINIC PC
Active
Parent organization
HANSON -MORAN EYE CLINIC PC
Other names
Watertown Optical Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANSON -MORAN EYE CLINIC PC
Authorized official
DR. MICHAEL J MORAN MD (OWNER OPHTHALMOGIST)
(605) 886-7722
Entity
Organization
Contact information
Practice address
705 14TH AVE NE, WATERTOWN, SD 57201-6827
(605) 886-7874
(605) 886-7723
Mailing address
705 14TH AVE NE, WATERTOWN, SD 57201-6827
(605) 886-7874
(605) 886-7723
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4579
SD
332H00000X
Eyewear Supplier
Primary
4579
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9280242
—
SD
Enumeration date
01/15/2008
Last updated
06/17/2008
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