Dr. Dwayne Robert Ice is a Rapid City, South Dakota based male Optometrist with 43 years of experience in Optometry. He completed his graduation from University Of Houston - College Of Optometry in 1981. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Dwayne Robert Ice is T-149 for Optometry in South Dakota. Dr. Dwayne Robert Ice examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Dwayne Robert Ice speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
43+ years
Medical School Attended:
University Of Houston - College Of Optometry
Graduation Year:
1981
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
825 Columbus St, Ste E, Rapid City, South Dakota, 57701-4803
Phone:
605-343-4703
Fax:
605-721-7201
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214078062
Enrollment ID:
I20091231000019
NPI Number:
1447362074
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
04 Sep, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dwayne Robert Ice are as mentioned below.
License Number
Specialization
State
Status
T-149
Optometry
South Dakota
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Dwayne Robert Ice has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
M. Scott Ellender, Od And Elizabeth A Ellender, Od, Pc (5294717229)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Dwayne Robert Ice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9201450
Medicaid
South Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
825 Columbus St, Ste E Rapid City, South Dakota
Zip:
57701-4803
Phone Number:
605-343-4703
Fax Number:
605-721-7201
Patients can reach Dr. Dwayne Robert Ice at 825 Columbus St, Ste E, Rapid City, South Dakota or can call to book an appointment on 605-343-4703. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.