Individual provider Active NPI

Benjamin Cade, OPTICIAN

  • Optician
  • Pickens, SC
National Provider Identifier
1093323289
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1002 Issued in SC
Practice address
404 Johnson St Ste a
Pickens, SC 29671-2479
Phone
(859) 420-2143
NPI assigned
Jul 14, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1002 SC Primary

Addresses

Primary practice location

404 Johnson St Ste a
Pickens, SC 29671-2479

Mailing address

197 Riggins Bridge Rd
Liberty, SC 29657-9300
Phone (859) 420-2143

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Family Optical CurrentSince Jul 27, 2020 Accepting new patients

Locations

404 Johnson St
Ste A
Pickens, SC 29671
Phone (859) 420-2143

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1093323289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RIGGINS BRIDGE RD",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296579300",
            "telephone_number": "859-420-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 JOHNSON ST STE A",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712479",
            "telephone_number": "859-420-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADE",
        "first_name": "BENJAMIN",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.