Active NPI
Robert J Myhre, LDO
- Optician
- Bluffton, SC
National Provider Identifier
1154440360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 741
- Practice address
- 80 Baylor Dr
Ste 104
Bluffton, SC 29910-8900 - Phone
- (843) 706-3022
- Fax
- (843) 706-3027
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 741 | SC | Primary |
Addresses
Primary practice location
80 Baylor Dr
Ste 104
Bluffton, SC 29910-8900
Mailing address
80 Baylor Dr
Ste 104
Bluffton, SC 29910-8900
Phone (843) 706-3022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1154440360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BAYLOR DR",
"address_2": "STE 104",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108900",
"telephone_number": "843-706-3022",
"fax_number": "843-706-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BAYLOR DR",
"address_2": "STE 104",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108900",
"telephone_number": "843-706-3022",
"fax_number": "843-706-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYHRE",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.