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VISION THERAPY CENTER LLC NPI 1356991624


NPI Information

NPI: 1356991624
Provider Name: VISION THERAPY CENTER LLC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
5734 SHERIDAN LAKE RD STE 202
RAPID CITY, SD
ZIP 57702
Phone: (605) 342-0258
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VISION THERAPY CENTER LLC is a vision therapy optometrist in Rapid City, SD. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. VISION THERAPY CENTER LLC NPI is 1356991624. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5734 SHERIDAN LAKE RD STE 202
RAPID CITY, SD
ZIP 57702-814
Phone: (605) 342-0258
Fax: (605) 342-0209

The provider's authorized official is Shane Alexander Clark .
The authorized official title is Ceo and has the following contact phone number (605) 342-0258.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 9/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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