Active NPI
David A. Ghent, OPTICIAN
- Optician
- Lancaster, SC
National Provider Identifier
1295922235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 648
- Practice address
- 209 S Wylie St
Lancaster, SC 29720-2353 - Phone
- (803) 285-7400
- Fax
- (803) 285-7554
- NPI assigned
- Oct 3, 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 | 648 | SC | Primary |
Addresses
Primary practice location
209 S Wylie St
Lancaster, SC 29720-2353
Mailing address
209 S Wylie St
Lancaster, SC 29720-2353
Phone (803) 285-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV6486 | Medicaid | SC |
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 |
|---|---|---|---|
| 648 | SC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1295922235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S WYLIE ST",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202353",
"telephone_number": "803-285-7400",
"fax_number": "803-285-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S WYLIE ST",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202353",
"telephone_number": "803-285-7400",
"fax_number": "803-285-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHENT",
"first_name": "DAVID",
"middle_name": "A.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DV6486",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.