Active NPI
John B Fowler, L.D.O
- Optician
- Murrells Inlet, SC
National Provider Identifier
1053553909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SC713
- Practice address
- 12060 Hwy 17 Byp
Unit B
Murrells Inlet, SC 29576-9401 - Phone
- (843) 357-2020
- Fax
- (843) 357-2021
- NPI assigned
- Mar 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | SC713 | SC | Primary |
Addresses
Primary practice location
12060 Hwy 17 Byp
Unit B
Murrells Inlet, SC 29576-9401
Mailing address
12060 Hwy 17 Byp
Unit B
Murrells Inlet, SC 29576-9401
Phone (843) 357-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC713 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1053553909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12060 HWY 17 BYP",
"address_2": "UNIT B",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769401",
"telephone_number": "843-357-2020",
"fax_number": "843-357-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12060 HWY 17 BYP",
"address_2": "UNIT B",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769401",
"telephone_number": "843-357-2020",
"fax_number": "843-357-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "JOHN",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "L.D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "SC713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
- Foster Orthodontics PA (South Carolina Orthodontics Group, Murrells Inlet)
- Karen B Foster, PT
- Deena Russell Fournier, PHARMD
- Brandi Leigh Fowler, NP-C
- David L Fowler, CRNA
- Dawn Nicole Fox, CPNP
- Charles David Foxworth Jr., R.PH.
- Colleen Elizabeth Fulling, LISW-CP
- Nathan Gabbard, DDS
- Sarah Gaddy-Williamson, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.