Optical Impressions, a Limited Liability Corporation

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL IMPRESSIONS, A LIMITED LIABILITY CORPORATION

Practice address

8096 Rivers Ave Ste a
North Charleston, SC 29406-9243

Phone

(843) 818-2020

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Edwin RichardNPI 1881804300

Title

President

Phone

(843) 818-2020

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Edwin Richard

  • Optician
  • North Charleston, SC
  • NPI 1881804300
  NPD Authorized official
• Sherry J Gilmer, O.D.

  • Optometrist
  • Greenville, SC
  • NPI 1831262435
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1407066905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 RIVERS AVE STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069243",
            "telephone_number": "843-818-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 RIVERS AVE STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069243",
            "telephone_number": "843-818-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL IMPRESSIONS, A LIMITED LIABILITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-818-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.