Vision Therapy Center LLC
NPI 1356991624ActiveOrganization· Optometrist, Vision Therapy· Rapid City, SD
Optometrist, Vision Therapy in Rapid City, South Dakota, registered in NPPES in September 2019. The authorized official on file is Shane Alexander Clark, OD, Ceo.
Overview
| NPI | 1356991624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2019 |
| Last updated in NPPES | Sep 19, 2023 |
| Certified by provider | Sep 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|