Organization
ROBERT B WILSON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B WILSON OD (OPTOMETRIST/OWNER)
(605) 348-9369
Entity
Organization
Contact information
Practice address
1200 N LACROSSE ST STE 105, RAPID CITY, SD 57701-6984
(605) 348-9369
(605) 348-3783
Mailing address
3146 PLAYER DR, RAPID CITY, SD 57702-5041
(605) 716-4077
(605) 348-3783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
447
SD
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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