Michael Scott Ellender in Rapid City - Optometrist

Michael Scott Ellender - NPI 1245301787

Michael Scott Ellender is a Optometrist in Rapid City, South Dakota. Michael Scott Ellender practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael Scott Ellender is 1245301787. The last update date is 2007-10-04.

Michael Scott Ellender's current location address is 1601 Mount Rushmore Rd, Rapid City, South Dakota. You can contact this provider via phone number 6053487401 and fax number 6053489773. The mailing address for Michael Scott Ellender is 1601 Mount Rushmore Rd, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Scott Ellender
Address 1601 Mount Rushmore Rd, Rapid City, South Dakota
Phone Number 6053487401
Fax Number 6053489773
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1245301787
Provider Enumeration Date 2006-11-13
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address 1601 Mount Rushmore Rd
City Rapid City
State South Dakota (SD)
Post Code 577014588
Phone Number 6053487401
Fax Number 6053489773

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No T573
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9201210 SD --

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FAQs about Michael Scott Ellender

What is the unique identifier code issued to Michael Scott Ellender by the Centers for Medicare & Medicaid Services?

The Michael Scott Ellender has been assigned the NPI (National Provider Identifier) 1245301787. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michael Scott Ellender?

The Michael Scott Ellender is physically situated at 1601 Mount Rushmore Rd, in the city of Rapid City, state of SD, with the postal code 577014588.

What is Michael Scott Ellender's area of expertise and its corresponding taxonomy classification?

The Michael Scott Ellender's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Michael Scott Ellender receive its 1245301787 assignment from the Centers for Medicare & Medicaid Services?

The Michael Scott Ellender was assigned its 1245301787 on 2006-11-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Michael Scott Ellender most recently updated or refreshed?

The details pertaining to the Michael Scott Ellender, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-04.

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