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NPI Code Detail

MEDICARE: JUSTIN A SCHWEITZER O.D.

MEDICARE: JUSTIN A SCHWEITZER O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist625SD

General Provider Information

NPI Number : 1023047867
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN A SCHWEITZER O.D.
Provider Business Mailing Address
First Line : 3101 W 57TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-3162
Country : US
Telephone Number : 605-361-3937
Fax Number : 605-371-7199
Provider Business Practice Location Address
First Line : 3101 W 57TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-3162
Country : US
Telephone Number : 605-361-3937
Fax Number : 605-371-7199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 05/21/2024

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Directions to “ JUSTIN A SCHWEITZER O.D.” Practice Location

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