NPIMap

Organization Active NPI

LTC Eyecare Inc

  • Optometrist
  • Georgetown, SC
National Provider Identifier
1225084676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LTC EYECARE INC
Practice address
511 Prince St
Georgetown, SC 29440-3627
Phone
(843) 527-8020
Fax
(843) 546-4111
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harry Oxner
Title
Owner
Phone
(843) 527-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

511 Prince St
Georgetown, SC 29440-3627

Mailing address

PO Box 481
Georgetown, SC 29442-0481
Phone (843) 527-8020

Other identifiers 1

IdentifierTypeStateIssuer
DA9696MedicaidSC

National Provider Directory

National Provider Directory

Locations

511 Prince St
Georgetown, SC 29440
Phone (843) 527-8020

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225084676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294420481",
            "telephone_number": "843-527-8020",
            "fax_number": "843-546-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PRINCE ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403627",
            "telephone_number": "843-527-8020",
            "fax_number": "843-546-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OXNER",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-527-8020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9696",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.