Organization Active NPI

Eccarius Eye Clinic, PC

Doing business as Eccarius Eye Clinic Optical Shop

  • Ophthalmology Physician
  • Rapid City, SD
National Provider Identifier
1518175330
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ECCARIUS EYE CLINIC, PC
Doing business as
Eccarius Eye Clinic Optical Shop
Practice address
631 Saint Anne St
Suite 103
Rapid City, SD 57701-4678
Phone
(605) 343-4953
Fax
(605) 343-3397
NPI assigned
May 18, 2007
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ECCARIUS EYE CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Scott Eccarius, MDNPI 1033166459
Title
President
Phone
(605) 343-4120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

631 Saint Anne St
Suite 103
Rapid City, SD 57701-4678

Mailing address

631 Saint Anne St
Suite 103
Rapid City, SD 57701-4678
Phone (605) 343-4953

Other identifiers 2

IdentifierTypeStateIssuer
9281520MedicaidSD
4997507OtherSDBLUE CROSS AND SHIELD

Other names 1

  • ECCARIUS EYE CLINIC OPTICAL SHOP Doing business as

National Provider Directory

National Provider Directory
Part of
Eccarius Eye Clinic PC

Locations

631 Saint Anne St
Ste 103
Rapid City, SD 57701
Phone (605) 343-4120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2497/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1518175330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SAINT ANNE ST",
            "address_2": "SUITE 103",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014678",
            "telephone_number": "605-343-4953",
            "fax_number": "605-343-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SAINT ANNE ST",
            "address_2": "SUITE 103",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014678",
            "telephone_number": "605-343-4953",
            "fax_number": "605-343-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCARIUS EYE CLINIC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECCARIUS EYE CLINIC PC",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "ECCARIUS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-343-4120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9281520",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND SHIELD",
            "identifier": "4997507",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECCARIUS EYE CLINIC OPTICAL SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.