Integrated Eye Care Prof. LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

697 Issued in SD

Legal business name

INTEGRATED EYE CARE PROF. LLC

Practice address

685 Mountain View Rd
Rapid City, SD 57702-2518

Phone

(605) 545-2020

NPI assigned

Nov 2, 2013

Last updated

Nov 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Scarborough, OD

Title

Member Agent

Phone

(605) 545-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1538598370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BERRY BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021809",
            "telephone_number": "605-545-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 MOUNTAIN VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022518",
            "telephone_number": "605-545-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED EYE CARE PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER AGENT",
        "authorized_official_telephone_number": "605-545-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SD",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.