Active NPI
James N Conard, O.D.
- Optometrist
- Mount Pleasant, SC
National Provider Identifier
1073602199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001886
- Practice address
- 1023 Legends Club Dr
Mount Pleasant, SC 29466-9057 - Phone
- (757) 304-0535
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001886 | VA | Primary |
Addresses
Primary practice location
1023 Legends Club Dr
Mount Pleasant, SC 29466-9057
Mailing address
1023 Legends Club Dr
Mount Pleasant, SC 29466-9057
Phone (757) 304-0535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11727863 | Other | SC | CAQH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001886 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455408000000",
"number": "1073602199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 LEGENDS CLUB DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669057",
"telephone_number": "757-304-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 LEGENDS CLUB DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669057",
"telephone_number": "757-304-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONARD",
"first_name": "JAMES",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2016-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11727863",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.