Organization
ECCARIUS EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
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) 343-4120
(605) 343-3397
Mailing address
631 SAINT ANNE ST, SUITE 103, RAPID CITY, SD 57701-4678
(605) 343-4120
(605) 343-3397
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
SD3450
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6300422
—
SD
Enumeration date
05/16/2007
Last updated
08/22/2020
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