Organization
VISION THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE ALEXANDER CLARK OD (CEO)
(605) 342-0258
Entity
Organization
Contact information
Practice address
5734 SHERIDAN LAKE RD STE 202, RAPID CITY, SD 57702-8814
(605) 342-0258
(605) 342-0209
Mailing address
5734 SHERIDAN LAKE RD STE 202, RAPID CITY, SD 57702-8814
(605) 342-0258
(605) 342-0209
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/19/2023
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