Individual provider Active NPI

Sabrina Lee Walker, NCLEC, ABOC, LDO

  • Optician
  • Georgetown, SC
National Provider Identifier
1063246858
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OP1.1443A Issued in SC
Practice address
1310 N Fraser St
Georgetown, SC 29440-2800
Phone
(843) 546-8946
Fax
(843) 527-5019
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X OP1.1443A SC Primary

Addresses

Primary practice location

1310 N Fraser St
Georgetown, SC 29440-2800

Mailing address

1310 N Fraser St
Georgetown, SC 29440-2800
Phone (843) 546-8946

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

LicenseStateTypeSpecialty
OP1.1443ASCMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1063246858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402800",
            "telephone_number": "843-546-8946",
            "fax_number": "843-527-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402800",
            "telephone_number": "843-546-8946",
            "fax_number": "843-527-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SABRINA",
        "middle_name": "LEE",
        "credential": "NCLEC, ABOC, LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "OP1.1443A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.