Eric D Porisch in Rapid City - Occupational Vision
Eric D Porisch - NPI 1174502330
Eric D Porisch is a Occupational Vision in Rapid City, South Dakota. Eric D Porisch practices all healthcare services and medical treatments related to Occupational Vision. The NPI Number for Eric D Porisch is 1174502330. The last update date is 2008-01-25.
Eric D Porisch's current location address is 605 Saint Joseph St, Rapid City, South Dakota. You can contact this provider via phone number 6053415644 and fax number 6053415450. The mailing address for Eric D Porisch is 605 Saint Joseph St, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric D Porisch |
|---|---|
| Address | 605 Saint Joseph St, Rapid City, South Dakota |
| Phone Number | 6053415644 |
| Fax Number | 6053415450 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1174502330 |
|---|---|
| Provider Enumeration Date | 2006-01-15 |
| Last Updated Date | 2008-01-25 |
Provider Mailing Address Detail
| Address | 605 Saint Joseph St |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577012718 |
| Phone Number | 6053415644 |
| Fax Number | 6053415450 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Vision |
|---|---|
| Taxonomy | 152Wx0102X |
| Licence No | 604 |
|
Definition: Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11336062 | SD | CAQH | |
| 9203370 | SD | -- | |
| S100185 | SD | MEDICARE ID |
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What is the unique identifier code issued to Eric D Porisch by the Centers for Medicare & Medicaid Services?
The Eric D Porisch has been assigned the NPI (National Provider Identifier) 1174502330. 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 Eric D Porisch?
The Eric D Porisch is physically situated at 605 Saint Joseph St, in the city of Rapid City, state of SD, with the postal code 577012718.
What is the Eric D Porisch's specialty and taxonomy code?
The Eric D Porisch's specialty is Occupational Vision, and the corresponding taxonomy code is 152Wx0102X.
On what date did the Eric D Porisch receive its 1174502330 assignment from the Centers for Medicare & Medicaid Services?
The Eric D Porisch was assigned its 1174502330 by the Centers for Medicare & Medicaid Services on 2006-01-15.
When was the Eric D Porisch's information last updated?
The Eric D Porisch's information was last updated on 2008-01-25.
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