Vision Source Specialists, Prof. L.L.C.
NPI 1568863496 · Optometrist · Rapid City, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vision Source Specialists, Prof. L.L.C. is a Optometrist organization in Rapid City, SD (NPI 1568863496).
Provider details
- NPI number
- 1568863496
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Dawn Wattenhofer, Partner/Owner(605) 399-3937
- License
- SD0553 (SD)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-10
- Last updated
- 2014-09-11
Frequently asked questions
- What is Vision Source Specialists, Prof. L.L.C.'s NPI number?
- Vision Source Specialists, Prof. L.L.C.'s National Provider Identifier (NPI) is 1568863496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vision Source Specialists, Prof. L.L.C.?
- Vision Source Specialists, Prof. L.L.C. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Vision Source Specialists, Prof. L.L.C. located?
- Vision Source Specialists, Prof. L.L.C.'s practice location on file with NPPES is 318 Mount Rushmore Rd, Rapid City, SD 57701-2769.
- What is Vision Source Specialists, Prof. L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Vision Source Specialists, Prof. L.L.C. is (605) 399-3937.
- Does Vision Source Specialists, Prof. L.L.C. accept Medicare?
- Vision Source Specialists, Prof. L.L.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vision Source Specialists, Prof. L.L.C.?
- The authorized official listed on Vision Source Specialists, Prof. L.L.C.'s NPPES record is Dawn Wattenhofer, Partner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vision Source Specialists, Prof. L.L.C.'s NPI active?
- Yes — Vision Source Specialists, Prof. L.L.C.'s NPI (1568863496) is active in the NPPES registry as of the last update on 2014-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.