NPIMap

Organization Active NPI

Sansbury Vision Services LLC

  • Optometrist
  • Columbia, SC
National Provider Identifier
1053847749
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0838 Issued in SC
Legal business name
SANSBURY VISION SERVICES LLC
Practice address
2313 N Beltline Blvd
Columbia, SC 29204-3416
Phone
(803) 788-1335
Fax
(803) 788-6954
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Mr. Ray A Sansbury, OPTICIAN
Title
Ceo
Phone
(803) 781-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0838 SC Primary

Addresses

Primary practice location

2313 N Beltline Blvd
Columbia, SC 29204-3416

Mailing address

PO Box 1107
Irmo, SC 29063-1107
Phone (803) 781-2123

National Provider Directory

National Provider Directory
Tax ID family
Sansbury Vision Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1053847749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290631107",
            "telephone_number": "803-781-2123",
            "fax_number": "803-749-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 N BELTLINE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043416",
            "telephone_number": "803-788-1335",
            "fax_number": "803-788-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANSBURY VISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "SANSBURY",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-781-2123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "0838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 2, 2017; 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.