Organization
WILKINSON VISION, INC
Active
Other names
Vision Source of Hot Springs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALLAS CHARLES WILKINSON O.D. (PRESIDENT)
(605) 745-3175
Entity
Organization
Contact information
Practice address
200 S CHICAGO ST, HOT SPRINGS, SD 57747-2322
(605) 745-3175
(605) 745-4006
Mailing address
200 S CHICAGO ST, HOT SPRINGS, SD 57747-2322
(605) 745-3175
(605) 745-4006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
575
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007616
WELLMARK BCBS
SD
01
—
1447414461
WELLMARK BCBS
SD
01
—
9176451
DAKOTACARE
SD
05
—
9200700
—
SD
Enumeration date
11/09/2006
Last updated
06/15/2020
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