Allmer, Derek M

Allmer, Derek M is an individual health care provider with primary practice located at 2200 N Maple Ave , Rapid City SD 57701-7854. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Allmer, Derek M can be contacted via phone (605) 343-1200.

Contact Information

Primary practice address
2200 N Maple Ave Rapid City SD 57701-7854
Phone: (605) 343-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 563 South Dakota

Profile Details

NPI number 1164482907
LBN Legal business name Allmer, Derek M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164482907 NPPES
South Dakota Other 0006986 BCBS
South Dakota MEDICAID 9203144 BCBS

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