Organization
OPHTHALMOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN J HAMMER MD (PRESIDENT)
(605) 336-6294
Entity
Organization
Contact information
Practice address
6601 S MINNESOTA AVE, SUITE 200, SIOUX FALLS, SD 57108-2564
(605) 336-6294
(605) 336-0266
Mailing address
6601 S MINNESOTA AVE, SUITE 200, SIOUX FALLS, SD 57108-2564
(605) 336-6294
(605) 336-0266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000131
BLUE SHIELD SD
SD
05
—
0741660
—
IA
01
—
121854D375
UCARE MN
MN
01
—
19431
HEALTHPARTNERS
—
01
—
25529
WELMARK OF IA
IA
05
—
318430000
—
MN
01
—
52223
WELLMARK OF IA
IA
01
—
68A69OP
BLUE SHIELD MN
MN
01
—
802S0OP
BLUE SHIELD MN
MN
01
—
91128OP
BLUE SHIELD MN
MN
Enumeration date
09/27/2005
Last updated
02/17/2021
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