Whalio Doctors

NPI 1063420719

Michael S Brooke

Organisation Optometrist Madison, SD

Practice location

Address
302 N Harth Avenue, Madison, SD 57042
Phone
(605) 256-6911
Fax
(605) 256-9017
Mailing address
PO Box 388, Madison, SD 57042-0388

Authorised official

Name
Michael S Brooke
Title
Optometrist Owner
Phone
(605) 256-6911

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X

Registry record

NPI
1063420719
Entity type
Organization
NPI issued
4 Aug 2006
Record last updated
1 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.