Vision Source Specialists, Prof. L.L.C.

LBN: Vision Source Specialists, Prof. L.L.C.
Vision Source Specialists, Prof. L.L.C. is an health care organization with primary practice located at 318 Mount Rushmore Rd Ste A, Rapid City SD 57701-2769. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Vision Source Specialists, Prof. L.L.C. can be contacted via phone (605) 399-3937, or through Wattenhofer, Dawn via phone (605) 399-3937.

Contact Information

Primary practice address
318 Mount Rushmore Rd Ste A Rapid City SD 57701-2769
Fax: (605) 399-5910
Website:
Authorized official contact:
Name: Wattenhofer, Dawn Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SD0553 South Dakota

Profile Details

NPI number 1568863496
LBN Legal business name Vision Source Specialists, Prof. L.L.C.
DBA Doing business as
Authorized official Wattenhofer, Dawn Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2014
Last updated Sep 11th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568863496 NPPES
South Dakota Other 1679653240 NPI
South Dakota Other 1124109848 NPI
South Dakota Other 1154390573 NPI
South Dakota Other 1245344001 NPI

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