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

Vision Source Specialists, Prof LLC

Organization Optometrist · NPI 1568863496

Vision Source Specialists, Prof LLC is an Optometrist in Rapid City, South Dakota. Licensed in South Dakota. Registered with an NPI since 2014.

Licensed in
SD
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

318 Mount Rushmore Rd Ste A
Rapid City, SD 57701-2769
Phone: (605) 399-3937
Fax: (605) 399-5910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence SD0553 (SD)

Record details

NPI number1568863496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Wattenhofer — Partner/Owner · (605) 399-3937
NPI enumeratedSeptember 10, 2014
Last updated in NPPESSeptember 11, 2014
Mailing address318 Mount Rushmore Rd, Ste A, Rapid City, SD 57701-2769

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