Healthcare Provider Details

I. General information

NPI: 1467453928
Provider Name (Legal Business Name): BOBETTE N GREENFIELD OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BOBETTE S NALE O.D.

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

IV. Provider business mailing address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

V. Phone/Fax

Practice location:
  • Phone: 605-336-3230
  • Fax:
Mailing address:
  • Phone: 605-336-3230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number509T
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: