Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Alexander Clark, OD

Individual provider Optometrist · NPI 1437446440

Dr. Shane Alexander Clark, OD is an Optometry in Rapid City, South Dakota. Graduated from Southern College of Optometry in 2011, 15 years ago. Practices with Black Hills Regional Eye Institute LLP, a 14-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
15
Trained at
Southern College of Optometry
Licensed in
SD
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5734 Sheridan Lake Rd Ste 202
Rapid City, SD 57702-8811
Phone: (605) 342-0258
Fax: (605) 342-0209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 725 (SD)

Record details

NPI number1437446440
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 29, 2011
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Black Hills Regional Eye Institute Llp — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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