Individual
MS. PAULINE SUSAN WEICHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
685 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2518
(605) 718-7550
(605) 718-7551
Mailing address
685 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2518
(605) 718-7550
(605) 718-7551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SD484
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040327
BCBS WELLMARK
—
01
—
484
DAKOTACARE
—
01
—
7992560
BCBS
SD
01
—
90000106357702A002
TRI CARE
—
05
—
9202623
—
SD
05
—
9202625
—
SD
Enumeration date
08/31/2005
Last updated
06/20/2008
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