Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vision Source Rapid City

Organization Optometrist · NPI 1396342515

Vision Source Rapid City is an Optometrist in Rapid City, South Dakota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

825 Columbus St Ste E
Rapid City, SD 57701-4804
Phone: (605) 343-4703
Fax: (605) 721-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1396342515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwayne Ice — Optometrist · (605) 343-4703
NPI enumeratedOctober 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address825 Columbus St Ste E, Rapid City, SD 57701-4804

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