NPI 1255819140

Vanderlei Optometric PC

Organisation Optometrist Vermillion, SD

Practice location

Address: 11 Shriner St, Vermillion, SD 57069-1155
Phone: (605) 624-2020
Fax: (605) 624-7961
Mailing address: 130 Catalina Ave, Vermillion, SD 57069-3318

Authorised official

Name: Clarence Joseph Vanderlei
Title: Owner
Phone: (605) 661-1145

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 727 (SD)

Other Optometrist providers in South Dakota →

Registry record

NPI: 1255819140
Entity type: Organization
NPI issued: 1 Aug 2018
Record last updated: 1 Aug 2018

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.