IndividualActive
Dwayne Ice, O.D.
NPI 1447362074 · Optometrist · Rapid City, SD
Provider details
- NPI number
- 1447362074
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- T-149 (SD)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
825 Columbus St
Ste E
Rapid City, SD 57701-4803
Phone: (605) 343-4703
Fax: (605) 721-7201
Approximate (ZIP-level) locationGet directions
Mailing address
825 Columbus St
Rapid City, SD 57701-4803
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2013-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.