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).
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 |
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 |
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 |
Street Address |
5734 SHERIDAN LAKE RD SUITE 202 |
City | RAPID CITY |
State | SD |
Zip Code | 57702-8811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306202700 | Infinity Eyecare, PC | Optometrist | 5734 Sheridan Lake Rd, Suite 202, Rapid City, SD 57702-8811 | 2016-01-14 |
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 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 |
---|---|---|---|---|
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 |
City | RAPID CITY |
Zip Code | 57702 |
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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.