Organization Active NPI

Shell Point Family Eyecare & Optical LLC

  • Optometrist
  • Beaufort, SC
National Provider Identifier
1174940142
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1568 Issued in SC
Legal business name
SHELL POINT FAMILY EYECARE & OPTICAL LLC
Practice address
204 Midtown Dr
Beaufort, SC 29906-5203
Phone
(843) 521-4037
Fax
(843) 521-0138
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Ferine Johannes, O.D.
Title
Member
Phone
(920) 915-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1568 SC Primary

Addresses

Primary practice location

204 Midtown Dr
Beaufort, SC 29906-5203

Mailing address

204 Midtown Dr
Beaufort, SC 29906-5203
Phone (843) 521-4037

Other identifiers 1

IdentifierTypeStateIssuer
PTAN: 7121350001OtherSCNATIONAL SUPPLIER CLEARINGHOUSE SUPPLIER OF DURABLE MEDICAL EQUIPMENT

Other names 1

  • Shell Point Optical Doing business as

National Provider Directory

National Provider Directory

Locations

204 Midtown Dr
Beaufort, SC 29906
Phone (843) 521-0138

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1174940142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MIDTOWN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065203",
            "telephone_number": "843-521-4037",
            "fax_number": "843-521-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MIDTOWN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065203",
            "telephone_number": "843-521-4037",
            "fax_number": "843-521-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELL POINT FAMILY EYECARE & OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "FERINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "920-915-3422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIER CLEARINGHOUSE SUPPLIER OF DURABLE MEDICAL EQUIPMENT",
            "identifier": "PTAN: 7121350001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shell Point Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.