Independent Optical, INC
NPI #1043259930 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1043259930
- Entity Type
- Organization
- Organization Name
- Independent Optical, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jun 6, 2006
- Last Updated
- May 7, 2015
Practice Location
- Address
- 810 MOUNT RUSHMORE RD
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57701-3603
- Phone
- (605) 343-6617
Authorized Official
- Name
- CHARLES A MORDHORST
- Title
- OWNER
- Phone
- (605) 343-6617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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