Organization
RAPID CITY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CZERNY O.D. (OPTOMETRIST)
(605) 390-7624
Entity
Organization
Contact information
Practice address
2200 N MAPLE AVE, RAPID CITY, SD 57701-7854
(605) 390-7624
Mailing address
PO BOX 300, PIEDMONT, SD 57769-0300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
673
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235417148
PERSONAL NPI
SD
05
—
9204090
—
SD
Enumeration date
09/08/2011
Last updated
09/08/2011
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