| Hawkeye Exact Sd 1 Pllc | |
|
11 Shriner St, Vermillion, SD 57069-1155 | |
| (605) 624-2020 | |
| Not Available |
| Full Name | Hawkeye Exact Sd 1 Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11 Shriner St, Vermillion, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013756899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Cynthia Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063451276 PECOS PAC ID: 8325041916 Enrollment ID: I20060822000044 |
| Provider Name | Kevin M Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619916871 PECOS PAC ID: 4688672694 Enrollment ID: I20061129000058 |
| Provider Name | Clarence J Vanderlei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811347685 PECOS PAC ID: 1658664065 Enrollment ID: I20160722000930 |
| Provider Name | Victoria Jo Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346928751 PECOS PAC ID: 1557704772 Enrollment ID: I20241031002462 |
| Mailing Address | Practice Location Address |
|---|---|
| Hawkeye Exact Sd 1 Pllc 11 Shriner St, Vermillion, SD 57069-1155 Ph: (605) 624-2020 | Hawkeye Exact Sd 1 Pllc 11 Shriner St, Vermillion, SD 57069-1155 Ph: (605) 624-2020 |
Dr. Amy M Dejong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 W Main St, Vermillion, SD 57069 Phone: 605-624-4291 Fax: 604-624-6822 | |
Cynthia Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 | |
Vanderlei Optometric Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 Fax: 605-624-7961 | |
Victoria Jo Johnson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 | |
Dr. Travis Adam Larson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 | |
Dr. Kevin M Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 Fax: 605-624-7961 |