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VISION SOURCE RAPID CITY
NPI 1396342515
Optometrist in Rapid City, SD

Active since October 01, 2020
825 COLUMBUS ST STE E, RAPID CITY, SD 57701(605) 343-4703(605) 721-7201 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vision Source Rapid City NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION SOURCE RAPID CITY (NPI 1396342515) is a healthcare organization registered as an optometrist in Rapid City, South Dakota and active in the NPI registry since October 2020. The organization lists Dwayne Robert Ice, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1396342515
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION SOURCE RAPID CITY
Location Address825 COLUMBUS ST STE ERapid City, SD 57701-4804
Mailing Address825 Columbus St Ste ERapid City, SD 57701-4804 · (605) 343-4703 · Fax (605) 721-7201
Phone(605) 343-4703
Fax(605) 721-7201
Organization SubpartNo
Authorized OfficialDwayne Robert IceOptometrist · (605) 343-4703
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1396342515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
825 COLUMBUS ST STE E, Rapid City, SD 57701
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Other Identifiers 1

Medicaid9201450SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISION WEST EYE CARE PLLC
Optometrist
825 COLUMBUS ST STE E
RAPID CITY, SD 57701
Meade County (605) 343-4703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vision Source Rapid City's NPI number?

The NPI number for Vision Source Rapid City is 1396342515. It was assigned to this organization in the NPPES registry on October 1, 2020.

Where is Vision Source Rapid City located?

Vision Source Rapid City is located at 825 Columbus St Ste E, Rapid City, SD 57701. The listed phone number is (605) 343-4703.

What is Vision Source Rapid City's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Vision Source Rapid City was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.