Individual
DR. JILL MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
725 E FIGZEL CT STE 101, TEA, SD 57064-2276
(605) 498-0427
(605) 498-0246
Mailing address
310 8TH AVE NW, ABERDEEN, SD 57401-2365
(605) 225-2020
(605) 725-2614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
600
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203710
—
SD
Enumeration date
03/06/2007
Last updated
12/03/2007
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