Eyewear Boutique Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

561 Issued in SC

Legal business name

EYEWEAR BOUTIQUE INC

Practice address

339 W Main St
Lake City, SC 29560-2366

Phone

(843) 374-2040

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steve C Hobbs, OD

Title

Optometrist

Phone

(843) 374-2040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Craig Hobbs, OD OPTOMETRIST

  • Optometrist
  • Lake City, SC
  • NPI 1639386832
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1093960106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602366",
            "telephone_number": "843-374-2040",
            "fax_number": "843-374-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602366",
            "telephone_number": "843-374-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-374-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1DD05616",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard K Ellis, M.D.
• Elm Pediatrics, LLC
• Elm Pediatrics, LLC
• Teresa English
• Kevin D Epps
• Faithful Home Healthcare Agency LLC
• Faithworks Pediatric Innervations, Inc
• Nabil Abdalla Fam, M.D.
• First Choice Ambulance, Inc.
• Sarah Elizabeth Fitch, PT

• All providers in Lake City, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.