Active NPI
Story Eye, LLC
- Eyewear Supplier
- Lancaster, SC
National Provider Identifier
1316164239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- STORY EYE, LLC
- Practice address
- 209 S Wylie St
Lancaster, SC 29720-2353 - Phone
- (803) 285-7400
- Fax
- (803) 285-7554
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W Story, M.D.
- Title
- Owner
- Phone
- (803) 285-7400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 648 | SC | |
| Eyewear Supplier | 332H00000X | 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 |
Other names 1
- Story Eye Optical
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328918400000",
"number": "1316164239",
"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": {
"organization_name": "STORY EYE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2012-02-11",
"status": "A",
"authorized_official_last_name": "STORY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-285-7400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "648",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DV6486",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Story Eye Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.