Organization Active NPI

Orangeburg Family Eye Care, LLC

  • Optometrist
  • Orangeburg, SC
National Provider Identifier
1114195708
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
559 Issued in SC
Legal business name
ORANGEBURG FAMILY EYE CARE, LLC
Practice address
1605 Carolina Avenue
Orangeburg, SC 29115-4939
Phone
(803) 534-2352
Fax
(803) 534-2180
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Robert M. Cress, OD
Title
Owner/Optometrist
Phone
(803) 534-2352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 00559 SC
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 559 SC Primary

Addresses

Primary practice location

1605 Carolina Avenue
Orangeburg, SC 29115-4939

Mailing address

1605 Carolina Avenue
Orangeburg, SC 29115-4939
Phone (803) 534-2352

Other identifiers 1

IdentifierTypeStateIssuer
D05591MedicaidSC

Other names 1

  • Robert M. Cress OD Former legal business name

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1605 Carolina Ave
Orangeburg, SC 29115
Phone (803) 534-2352

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1114195708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CAROLINA AVENUE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154939",
            "telephone_number": "803-534-2352",
            "fax_number": "803-534-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CAROLINA AVENUE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154939",
            "telephone_number": "803-534-2352",
            "fax_number": "803-534-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGEBURG FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "CRESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "803-534-2352",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "00559",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D05591",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert M. Cress OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.