# INTEGRATED EYE CARE PROF. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538598370
- **Authorized official:** DR. RYAN SCARBOROUGH OD (MEMBER AGENT)
- **Authorized official phone:** (605) 545-2020

## Contact information

- **Practice address:** 685 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2518
- **Practice address phone:** (605) 545-2020
- **Mailing address:** 203 BERRY BLVD, RAPID CITY, SD 57702-1809
- **Mailing address phone:** (605) 545-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 697 | SD | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013