Robert B Wilson PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

447 Issued in SD

Legal business name

ROBERT B WILSON PC

Practice address

1200 N Lacrosse St Ste 105
Rapid City, SD 57701-6984

Phone

(605) 348-9369

Fax

(605) 348-3783

NPI assigned

Nov 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert B Wilson, ODNPI 1710107909

Title

Optometrist/Owner

Phone

(605) 348-9369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Bruce Wilson, OD

  • Optometrist
  • Rapid City, SD
  • NPI 1710107909
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1538673579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 PLAYER DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025041",
            "telephone_number": "605-716-4077",
            "fax_number": "605-348-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N LACROSSE ST STE 105",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016984",
            "telephone_number": "605-348-9369",
            "fax_number": "605-348-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B WILSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "605-348-9369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Roach, PTA
• Roads Outpatient Treatment
• Sarah Bonnville-Conlin Robart, CSW-PIP
• Christopher James Robbins, M.D.
• Nicole D Robeck, MSW,MA,LAC
• Robert C. Stelzle MD (Allergy and Asthma of the Black Hills)
• Robert H Arnio PHD Inc
• Ella Roberts
• Alexandra Nicole Robertson, BA
• Jazmyn Robinson-Snoke

• Optometrist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.