NPI 1861531642

Madison Vision Clinic

Organisation Optometrist Madison, SD

Practice location

Address: 411 SE 10th St, Madison, SD 57042-3567
Phone: (605) 256-2324
Fax: (605) 256-3597
Mailing address: PO Box 58, Madison, SD 57042-0058

Authorised official

Name: Judson Jay Bergan
Title: Owner
Phone: (605) 256-2324

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 126 (SD)

Other Optometrist providers in South Dakota →

Registry record

NPI: 1861531642
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 7 Aug 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.