NPI 1063588374

The Optical Shop INC.

Organisation Optician Brookings, SD

Practice location

Address: 112 22nd Ave S, Brookings, SD 57006-2600
Phone: (605) 692-5173
Fax: (605) 692-6710

Authorised official

Name: Tom Anderson
Title: Owner
Phone: (605) 692-5173

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 05001EST001 (SD)

Other Technician/Technologist providers in South Dakota →

Registry record

NPI: 1063588374
Entity type: Organization
NPI issued: 28 Nov 2006
Record last updated: 21 Jul 2022

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.