Active NPI
Vincent Bernard Castro, OD
- Optometrist
- North Charleston, SC
National Provider Identifier
1396303673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2121
- Practice address
- 7800 Rivers Ave
North Charleston, SC 29406-4057 - Phone
- (848) 572-3404
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2121 | SC | Primary |
Addresses
Primary practice location
7800 Rivers Ave
North Charleston, SC 29406-4057
Mailing address
128 Columbus St Apt 815
Charleston, SC 29403-4891
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 |
|---|---|---|---|
| 2121 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1396303673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 COLUMBUS ST APT 815",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294034891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064057",
"telephone_number": "848-572-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "VINCENT",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.