Eyecare Center of Madison Prof LLC

NPI #1508117151 in Madison, South Dakota

Provider Information

NPI Number: 1508117151
Entity Type: Organization
Organization Name: Eyecare Center of Madison Prof LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 23, 2012
Last Updated: Sep 23, 2012

Practice Location

Address: 302 N HARTH AVE
City: Madison
State: South Dakota
ZIP Code: 57042-2219
Phone: (605) 256-6911

Authorized Official

Name: DR. MICHAEL S BROOKE
Title: OPTOMETRIST/MANAGING MEMBER
Phone: (605) 256-6911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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