Organization Active NPI

Eye Care of Lexington

  • Optometrist
  • Lexington, SC
National Provider Identifier
1194767962
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
705 Issued in SC
Legal business name
EYE CARE OF LEXINGTON
Practice address
119 Library Hill LN
Lexington, SC 29072-3893
Phone
(803) 359-2110
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Joel G Bailey, OD
Title
Optometrist/Owner
Phone
(803) 359-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 705 SC Primary

Addresses

Primary practice location

119 Library Hill LN
Lexington, SC 29072-3893

Mailing address

119 Library Hill LN
Lexington, SC 29072-3893
Phone (803) 359-2110

Other identifiers 1

IdentifierTypeStateIssuer
DA9694MedicaidSC

National Provider Directory

National Provider Directory

Locations

119 Library Hill Ln
Lexington, SC 29072
Phone (803) 359-2110

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1194767962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LIBRARY HILL LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723893",
            "telephone_number": "803-359-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LIBRARY HILL LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723893",
            "telephone_number": "803-359-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF LEXINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "803-359-2110",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9694",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

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