Active NPI
Orangeburg Family Eye Care, LLC
- Optometrist
- Orangeburg, SC
National Provider Identifier
1114195708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 559
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 00559 | SC | |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D05591 | Medicaid | SC |
Other names 1
- Robert M. Cress OD
National Provider Directory
National Provider DirectoryMember 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
- Orangeburg Consolidated School District 5
- Orangeburg County Council on Aging
- Orangeburg County School District
- Orangeburg Eye Center
- Orangeburg Family Dentistry,LLC
- Orangeburg Family Eye Care, LLC
- Orangeburg Family Physicians, PA
- Orangeburg Five
- Orangeburg Lung Associates PA
- Orangeburg Medical Associates PA
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.