Whalio Doctors

NPI 1003887688

Glen D Nydam, OD

Practitioner Optometrist Mitchell, SD

Practice location

Address
305 N Sanborn Blvd, Mitchell, SD 57301-2449
Phone
(605) 996-2537
Fax
(605) 996-0500

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 542 (SD)

Registry record

NPI
1003887688
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jan 2006
Record last updated
10 Nov 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.