VISION SOURCE RAPID CITY

RAPID CITY, SD
NPI1396342515
Entity TypeOrganization
Authorized ContactDWAYNE ROBERT ICE
O PT Ometrist
605-343-4703
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2020-10-01
Last Update Date2020-10-01
Business Address
VISION SOURCE RAPID CITY
825 COLUMBUS ST STE E
RAPID CITY, SD 57701-4804
Phone number: 605-343-4703
Mailing Address
VISION SOURCE RAPID CITY
825 COLUMBUS ST STE E
RAPID CITY, SD 57701-4804
Phone number: 605-343-4703
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