Organization
ATLAS PLLC
Active
Other names
Atlas PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWAN PERCY RANDOLPH OD (OWNER)
(605) 642-2533
Entity
Organization
Contact information
Practice address
409 KANSAS CITY ST, RAPID CITY, SD 57701-3636
(605) 348-2323
(605) 348-6694
Mailing address
409 KANSAS CITY ST, RAPID CITY, SD 57701-3636
(605) 348-2323
(605) 348-6694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Enumeration date
11/14/2018
Last updated
03/16/2022
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