NPIMap

Organization Active NPI

Optical Impressions LLC

  • Optician
  • Summerville, SC
National Provider Identifier
1285967935
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
905 Issued in SC
Legal business name
OPTICAL IMPRESSIONS LLC
Practice address
1112 E N. Main Street
Summerville, SC 29483-7315
Phone
(843) 261-2020
Fax
(843) 261-2080
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Mr. Lawrence E RichardNPI 1881804300
Title
Owner
Phone
(843) 818-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 905 SC Primary

Addresses

Primary practice location

1112 E N. Main Street
Summerville, SC 29483-7315

Mailing address

8096 Rivers Ave Ste a
N Charleston, SC 29406-9243
Phone (843) 818-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1285967935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 RIVERS AVE STE A",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069243",
            "telephone_number": "843-818-2020",
            "fax_number": "843-818-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E N. MAIN STREET",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837315",
            "telephone_number": "843-261-2020",
            "fax_number": "843-261-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL IMPRESSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-818-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.