Eccarius Eye Clinic, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

SD3450 Issued in SD

Legal business name

ECCARIUS EYE CLINIC, PC

Practice address

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

Phone

(605) 343-4120

Fax

(605) 343-3397

NPI assigned

May 16, 2007

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Eccarius Eye Clinic, PC

  dba Eccarius Eye Clinic Optical Shop

  • Ophthalmology Physician
  • Rapid City, SD
  • NPI 1518175330
  NPPES parent name

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.

• Scott Eccarius, MD

  • Ophthalmology Physician
  • Rapid City, SD
  • NPI 1033166459
  NPD Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922215482",
    "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": "605-343-4120",
            "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": "605-343-4120",
            "fax_number": "605-343-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCARIUS EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "SD3450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6300422",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eat Speak Grow LLC
• Monica Ellen Eaton-Harris, NCC, LPC
• David Bruce Eaton, MD
• Eb Whillock DDS, LTD.
• Eccarius Eye Clinic, PC (Eccarius Eye Clinic Optical Shop)
• Scott Eccarius, MD
• Stephen G.J. Eckrich, MD
• Rachel C Edelen, MD
• Kayla Nichole Ederveen
• Edgewood Rapid City LLC

• Ophthalmology Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Ophthalmology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.