Infinity Eyecare, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

725 Issued in SD

Legal business name

INFINITY EYECARE, PC

Practice address

5734 Sheridan Lake Rd
Suite 202
Rapid City, SD 57702-8811

Phone

(605) 342-0258

Fax

(605) 342-0209

NPI assigned

Jan 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shane Alexander Clark, O.D.NPI 1437446440

Title

President / Owner

Phone

(816) 853-9407

Specialties & licenses 1

Addresses

Other names 1

• Infinity EyeCare, PC Other name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Alexander Clark, O.D.

  • Optometrist
  • Rapid City, SD
  • NPI 1437446440
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1306202700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 SHERIDAN LAKE RD",
            "address_2": "SUITE 202",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028811",
            "telephone_number": "605-342-0258",
            "fax_number": "605-342-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 SHERIDAN LAKE RD",
            "address_2": "SUITE 202",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028811",
            "telephone_number": "605-342-0258",
            "fax_number": "605-342-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "816-853-9407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity EyeCare, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.