NPIMap

Organization Active NPI

Look, PC

  • Optometrist
  • Columbia, SC
National Provider Identifier
1003235656
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1117 Issued in SC
Legal business name
LOOK, PC
Practice address
332 Long Pointe LN
Columbia, SC 29229-5508
Phone
(803) 419-8907
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jean Champion-Martin, OD
Title
Owner/Optometrist
Phone
(803) 419-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1117 SC Primary

Addresses

Primary practice location

332 Long Pointe LN
Columbia, SC 29229-5508

Mailing address

332 Long Pointe LN
Columbia, SC 29229-5508
Phone (803) 419-8907

Other identifiers 1

IdentifierTypeStateIssuer
D11173MedicaidSC

Other names 1

  • EyeCo Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1003235656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 LONG POINTE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292295508",
            "telephone_number": "803-419-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LONG POINTE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292295508",
            "telephone_number": "803-419-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "CHAMPION-MARTIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "803-419-8907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11173",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.