Organization
BARNETT VISION CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI L REMILY (BILLING)
(605) 225-4046
Entity
Organization
Contact information
Practice address
508 MOCCASIN DR, ABERDEEN, SD 57401-5059
(605) 225-4046
(605) 225-9728
Mailing address
508 MOCCASIN DR, ABERDEEN, SD 57401-5059
(605) 225-4046
(605) 225-9728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T544
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG6218
RAILROAD MEDICARE
SD
01
—
S6851
MEDICARE ID
SD
Enumeration date
05/17/2007
Last updated
05/26/2009
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