MR. ROBERT BRUCE WILSON OD
NPI 1710107909
Optometrist in Rapid City, SD

Q: What is Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1710107909. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Q: What is Robert Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 27, 2007

1200 LACROSSE STREET, SUITE 105, RAPID CITY, SD 57701(605) 348-9369 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Robert Bruce Wilson Od NPPES

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

MR. ROBERT BRUCE WILSON OD (NPI 1710107909) is an individual optometrist in Rapid City, South Dakota, licensed in South Dakota (447) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1710107909

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. ROBERT BRUCE WILSONCredential: OD

Location Address1200 LACROSSE STREET, SUITE 105Rapid City, SD 57701

Mailing Address3146 Player DriveRapid City, SD 57702 · (605) 716-4077

Phone(605) 348-9369

Sole ProprietorNo

Enumeration DateApril 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710107909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SD · 447

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.

1200 LACROSSE STREET, Rapid City, SD 57701

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Other Identifiers 3

Medicare ID-Type UnspecifiedT78833SD

Medicare UPIN1567

Medicaid9202230SD

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 Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1710107909. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Where is Robert Wilson located?

Robert Wilson practices at 1200 Lacrosse Street Suite 105, Rapid City, SD 57701. The listed phone number is (605) 348-9369.

What is Robert Wilson'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 Robert Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.