Clark, Shane Alexander

Clark, Shane Alexander is an individual health care provider with primary practice located at 5734 Sheridan Lake Rd Suite 202, Rapid City SD 57702-8811. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clark, Shane Alexander can be contacted via phone (605) 342-0258.

Contact Information

Primary practice address
5734 Sheridan Lake Rd Suite 202 Rapid City SD 57702-8811
Phone: (605) 342-0258
Fax: (605) 342-0209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 725 South Dakota

Profile Details

NPI number 1437446440
LBN Legal business name Clark, Shane Alexander
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2011
Last updated Aug 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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