Organization
ECCARIUS EYE CLINIC, PC
Active
Parent organization
ECCARIUS EYE CLINIC PC
Other names
ECCARIUS EYE CLINIC OPTICAL SHOP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ECCARIUS EYE CLINIC PC
Authorized official
SCOTT ECCARIUS MD (PRESIDENT)
(605) 343-4120
Entity
Organization
Contact information
Practice address
631 SAINT ANNE ST, SUITE 103, RAPID CITY, SD 57701-4678
(605) 343-4953
(605) 343-3397
Mailing address
631 SAINT ANNE ST, SUITE 103, RAPID CITY, SD 57701-4678
(605) 343-4953
(605) 343-3397
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4997507
BLUE CROSS AND SHIELD
SD
05
—
9281520
—
SD
Enumeration date
05/18/2007
Last updated
01/20/2015
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