VISION THERAPY CENTER LLC
NPI 1356991624
Optometrist - Vision Therapy in Rapid City, SD

Active since September 18, 2019
5734 SHERIDAN LAKE RD STE 202, RAPID CITY, SD 57702(605) 342-0258(605) 342-0209 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist
  • Vision Therapy

About VISION THERAPY CENTER LLC

This page provides the complete NPI Profile along with additional information for Vision Therapy Center Llc, a provider established in Rapid City, South Dakota operating as a Optometrist, focusing in vision therapy . The healthcare provider is registered in the NPI registry with number 1356991624 assigned on September 2019. The practitioner's primary taxonomy code is 152WV0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shane Alexander Clark Od (Ceo)

NPI
1356991624 Verify this NPI
Provider Name
VISION THERAPY CENTER LLC
Entity Type
Organization
Location Address
5734 SHERIDAN LAKE RD STE 202 RAPID CITY, SD 57702
Location Phone
(605) 342-0258
Location Fax
(605) 342-0209
Mailing Address
5734 SHERIDAN LAKE RD STE 202 RAPID CITY, SD 57702
Mailing Phone
(605) 342-0258
Mailing Fax
(605) 342-0209
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2019
Last Update Date
09-19-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist Vision Therapy

Taxonomy Code
152WV0400X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANE ALEXANDER CLARK OD

Authorized Official Title
CEO
Authorized Official Phone
(605) 342-0258

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356991624, enumerated as an "organization" on September 18, 2019.

The provider is located at 5734 SHERIDAN LAKE RD STE 202 RAPID CITY, SD 57702 and the phone number is (605) 342-0258.

Optometrist with taxonomy code 152WV0400X and a focus in Vision Therapy.