Vision Source Specialists, Prof. L.l.c.
NPI #1568863496 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1568863496
- Entity Type
- Organization
- Organization Name
- Vision Source Specialists, Prof. L.l.c.
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 10, 2014
- Last Updated
- Sep 11, 2014
Practice Location
- Address
- 318 MOUNT RUSHMORE RD
- Address 2
- STE A
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57701-2769
- Phone
- (605) 399-3937
Authorized Official
- Name
- DR. DAWN WATTENHOFER, O.D.
- Title
- PARTNER/OWNER
- Phone
- (605) 399-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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