Dwayne Ice, O.D

NPI 1447362074 · on the registry since 2006 · sole proprietor

Practice

Address: 825 Columbus St
Ste E
Rapid City, SD 57701
Phone: (605) 343-4703
Fax: (605) 721-7201
Organisation at this address: John B. Jarding Od, Llc
Vision Source Rapid City
Vision West Eye Care Pllc
Carver Grupp Psychological Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: SD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota