Dr. Gary Shepard, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1012 Issued in SC

Legal business name

DR. GARY SHEPARD, PC

Practice address

2035 Whiskey Rd
Walmart Vision Center
Aiken, SC 29803-7956

Phone

(803) 643-3785

Fax

(803) 648-2440

NPI assigned

Apr 22, 2009

Last updated

May 19, 2009By 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. Gary Shepard, O.D.

Title

President

Phone

(803) 640-0116

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1376787226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 WHISKEY RD",
            "address_2": "WALMART VISION CENTER",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037956",
            "telephone_number": "803-643-3785",
            "fax_number": "803-648-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 WHISKEY RD",
            "address_2": "WALMART VISION CENTER",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037956",
            "telephone_number": "803-643-3785",
            "fax_number": "803-648-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY SHEPARD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-640-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1012",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "SC",
            "license": "1012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.