Compass Vision Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

1530 Issued in SC

Legal business name

COMPASS VISION CARE

Practice address

495 Wando Park Blvd Ste 101
Mount Pleasant, SC 29464-7952

Phone

(843) 422-1625

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Wright Fraser, O.D.NPI 1649433673

Title

Sole Member

Phone

(843) 422-1625

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Wright Fraser, O.D.

  • Optometrist
  • Mount Pleasant, SC
  • NPI 1649433673
  NPD Authorized official
• Brooke Price

  • Nurse Practitioner
  • Mount Pleasant, SC
  • NPI 1669046413
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1023526407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CHIMNEY BLUFF DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648114",
            "telephone_number": "843-422-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WANDO PARK BLVD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647952",
            "telephone_number": "843-422-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "843-422-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D15302",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.