Optical Express, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

492 Issued in SC

Legal business name

OPTICAL EXPRESS, INC.

Practice address

5823 Calhoun Memorial Hwy
Suite 2-a
Easley, SC 29640-3874

Phone

(864) 855-6571

Fax

(864) 855-2303

NPI assigned

Jan 10, 2007

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Michael Straker, O.D.

Title

President

Phone

(864) 855-6571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1346399052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 CALHOUN MEMORIAL HWY",
            "address_2": "SUITE 2-A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403874",
            "telephone_number": "864-855-6571",
            "fax_number": "864-855-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 CALHOUN MEMORIAL HWY",
            "address_2": "SUITE 2-A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403874",
            "telephone_number": "864-855-6571",
            "fax_number": "864-855-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EXPRESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "STRAKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-855-6571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9951",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onsite Medical Solutions SC Coastal LLC
• Onsite Medical Solutions SC Upstate LLC
• Onsite Mental Health
• Katelyn Johanna Ooms, AUD
• Optical Express
• Oracle Pharmacy
• Adrianne Burgess Owen, CCC-SLP
• Jennifer S. Owens, D.C.
• Cesar Neri Pagan-Cordero, M.D.
• Keonna Palmer

• Optometrist in Easley, SC
• Providers in Easley, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.