Organization
WEISS EYE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE D WEISS OD (OWNER /OPTOMETRIST)
(605) 882-0808
Entity
Organization
Contact information
Practice address
1300 19TH ST NE, WATERTOWN, SD 57201-6799
(605) 882-0808
(605) 882-7078
Mailing address
1300 19TH ST NE, WATERTOWN, SD 57201-6799
(605) 882-0808
(605) 882-7078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SDT555
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040755
WELLMARK BCBS
SD
05
—
9201302
—
SD
01
—
9213913
DAKOTA CARE
SD
Enumeration date
04/21/2006
Last updated
01/20/2015
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