Individual
STEVEN J FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
305 DAKOTA DUNES BLVD, DAKOTA DUNES, SD 57049-5176
(605) 232-6900
(605) 232-7007
Mailing address
305 DAKOTA DUNES BLVD, DAKOTA DUNES, SD 57049-5176
(605) 232-6900
(605) 232-7007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
551
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040851
WELLMARK BLUE CROSS BLUE SHIELD
SD
05
—
2538652
—
IA
05
—
82057327500
—
NE
05
—
9202154
—
SD
Enumeration date
07/08/2005
Last updated
03/06/2015
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