WILKINSON VISION, INC (NPI# 1215007836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215007836 |
| Entity Type | Organization |
| Organization Name | WILKINSON VISION, INC |
| Other Organization Name | VISION SOURCE OF HOT SPRINGS |
| Practice Address |
200 S Chicago St Hot Springs SD 57747-2322 |
| Practice Telephone | 6057453175 |
| Practice Fax Number | 6057454006 |
| Mailing Telephone | 6057453175 |
| Mailing Fax Number | 6057454006 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | DR. DALLAS CHARLES WILKINSON (PRESIDENT) |
| Authorized Official Telephone | 6057453175 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 575 | SD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9200700 | 05 | |
| SD | DAKOTACARE | 9176451 | 01 |
| SD | WELLMARK BCBS | 0007616 | 01 |
| SD | WELLMARK BCBS | 1447414461 | 01 |
| Other Name | Type Code |
|---|---|
| Vision Source of Hot Springs | Doing Business As Name - Organization |
| Street Address |
200 S CHICAGO ST |
| City | HOT SPRINGS |
| State | SD |
| Zip Code | 57747-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396702221 | John B Jarding | Optometrist | 200 S Chicago St, Hot Springs, SD 57747-2322 | 2006-04-26 |
| 1245344001 | Dallas Charles Wilkinson | Optometrist | 200 S Chicago St, Hot Springs, SD 57747-2322 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
| 1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
| 1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
| 1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
| 1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
| Find all providers in zip 57747 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821345562 | Gregory A Ramer | Optometrist | 1629 Airport Rd Ste C, Hot Springs, AR 71913-8069 | 2012-08-13 |
| 1588931570 | Robert Newton Od Pa | Optometrist | 4419 Central Ave, Hot Springs, AR 71913 | 2011-11-19 |
| 1487812392 | Derek S Long Od Inc | Optometrist | 4425 Central Ave Ste B, Hot Springs, AR 71913-7297 | 2008-05-28 |
| 1588848550 | James L. Summers, O.d. | Optometrist | 1419 Central Ave, Hot Springs, AR 71901-6149 | 2007-12-26 |
| 1396702221 | John B Jarding | Optometrist | 200 S Chicago St, Hot Springs, SD 57747-2322 | 2006-04-26 |
| 1104880657 | Scott Evan Seller | Optometrist | 103 Ridgeway St, Hot Springs, AR 71901-7102 | 2006-04-13 |
| 1003807785 | Dale Ray Burroughs | Optometrist | 305 Section Line, Hot Springs, AR 71913-6913 | 2005-11-02 |
| 1427050111 | Annette Gail Webb-stevenson | Optometrist | 1540 Airport Rd, Suite C, Hot Springs, AR 71913-7952 | 2005-08-11 |
| 1083956981 | Dr. Greg Ramer, Pllc | Optometrist | 1629 Airport Rd, Suite C, Hot Springs, AR 71913-7951 | 2013-03-19 |
| 1356616940 | C & R Eye Group Pa | Optometrist | 4328 Central Ave, Suite G, Hot Springs, AR 71913-7436 | 2012-03-14 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 57747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.