Individual
MICHAEL O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 DAKOTA DUNES BLVD, NORTH SIOUX CITY, SD 57049-5176
(712) 420-3068
Mailing address
22847 EAST 16, HORNICK, IA 51026
(712) 420-3068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
736
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2017
Last updated
02/08/2018
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