IndividualActive
Douglas Wallin, OD
NPI 1114923034 · Optometrist · Sioux Falls, SD
Provider details
- NPI number
- 1114923034
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 525 (SD)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3101 W 57th St
Sioux Falls, SD 57108-3162
Phone: (605) 361-3937
Fax: (605) 371-7199
Approximate (ZIP-level) locationGet directions
Mailing address
3101 W 57th St
Sioux Falls, SD 57108-3162
Registry dates
- Enumerated
- 2005-06-24
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.