DR. SHANE ALEXANDER CLARK


Address: 5734 Sheridan Lake Rd, Suite 202, Rapid City, SD 57702-8811
Phone: 6053420258

DR. SHANE ALEXANDER CLARK (NPI# 1437446440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437446440
Entity Type Individual
Full Name DR. SHANE ALEXANDER CLARK
Credential O.D.
Practice Address 5734 Sheridan Lake Rd
Suite 202
Rapid City
SD 57702-8811
Mailing Address 2033 Elmhurst Dr
Rapid City
SD 57702-3219
Practice Telephone 6053420258
Practice Fax Number 6053420209
Mailing Telephone 8168539407
Enumeration Date 2011-06-29
Last Update Date 2016-04-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 725 SD Eye and Vision Services Providers
N 152W00000X Optometrist 2995 TN Eye and Vision Services Providers

Other Providers SHANE CLARK

NPI Name Taxonomy Address Enumeration
1972910305 Shane Clark Specialist/Technologist 2151 Fews Chapel Rd, Greer, SC 29651-4946 2014-07-17
1003220203 Shane Thomas Clark Dentist 2800 Coors Blvd Nw, Albuquerque, NM 87120-1204 2014-06-16
1902391477 Shane Clark Student in an Organized Health Care Education/Training Program 401 W Greenlawn Ave, Lansing, MI 48910-2819 2018-06-27
1548495336 Shane Chamberlain Clark Dermatology 5300 Far Hills Avenue, Dayton, OH 45429-2347 2009-05-21
1265573067 Shane Alan Clark Anesthesiology 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 2007-02-12

Office Location

Street Address 5734 SHERIDAN LAKE RD
SUITE 202
City RAPID CITY
State SD
Zip Code 57702-8811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306202700 Infinity Eyecare, PC Optometrist 5734 Sheridan Lake Rd, Suite 202, Rapid City, SD 57702-8811 2016-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049660 Byrne Dental, Professional LLC Dentist 3825 Canyon Lake Dr, Rapid City, SD 57702 2020-10-08
1427603026 Mikaela Licht Technician 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 2019-08-09
1932761335 Great Plains Tribal Chairmen's Health Board Pharmacy Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 2019-07-05
1598231334 Regional Health Physicians, Inc. Clinic/Center 1635 Caregiver Circle, Rapid City, SD 57702 2018-10-19
1851813224 Angie Deneire Licensed Practical Nurse 7312 Pinon Jay Circle, Rapid City, SD 57702 2017-07-07
1073063830 Kirsten William-kennedy Dds, Ms, P.C. Dentist 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 2016-10-05
1932558939 Emily T Rausch Physical Therapist 2040 West Main, #212, Rapid City, SD 57702 2016-06-09
1033597810 John Dennis Burke Speech-Language Pathologist 4635 Wentworth Drive, Rapid City, SD 57702 2015-05-12
1013394535 Dakota Regional Periodontics Dentist 2800 Jackson Blvd #6, Rapid City, SD 57702 2015-05-05
1306272414 Lindsy Jo Wathen Speech-Language Pathologist 13232 Klondike Road, Rapid City, SD 57702 2013-09-20
Find all providers in zip 57702

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396342515 Vision Source Rapid City Optometrist 825 Columbus St Ste E, Rapid City, SD 57701-4804 2020-10-01
1538673579 Robert B Wilson PC Optometrist 1200 N Lacrosse St Ste 105, Rapid City, SD 57701-6984 2017-11-29
1962755785 Karie Holloway Optometrist 2401 W Main St Ste Boffice3, Rapid City, SD 57702-2405 2012-10-17
1669779195 Matthew Keenan Barnett Optometrist 409 Kansas City St, Rapid City, SD 57701-3636 2011-02-18
1558670638 Daniel E Holloway Optometrist 2401 W Main St Ste Bofc3, Rapid City, SD 57702-2405 2010-10-06
1689982027 Allmer Vision Center, PC Optometrist 2200 N Maple Ave Unit 252, Rapid City, SD 57701-7882 2010-09-20
1568630085 M. Scott Ellender, Od and Elizabeth A Ellender, Od, PC Optometrist 1601 Mt Rushmore Rd, Unit #5, Rapid City, SD 57701-4588 2008-02-19
1558545152 Becker & Sorensen, PC Optometrist 2626 West Main Street, Suite 4, Rapid City, SD 57702-2496 2007-12-19
1073735759 Cary S. Feldman Optometrist 808 Mount Rushmore Rd, Rapid City, SD 57701-3603 2007-05-03
1710107909 Robert Bruce Wilson Optometrist 1200 Lacrosse Street, Suite 105, Rapid City, SD 57701 2007-04-27
Find all providers in RAPID CITY

Competitor

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City RAPID CITY
Zip Code 57702

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Dataset Information

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.

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