Active NPI
Edward Lemon, OD PA
- Optometrist
- Barnwell, SC
National Provider Identifier
1437135795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 746
- Practice address
- 267 Main St
Barnwell, SC 29812-1849 - Phone
- (803) 259-2020
- Fax
- (803) 259-3621
- NPI assigned
- Dec 19, 2005
- Last updated
- Mar 7, 2011
- 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 | 746 | SC | Primary |
Addresses
Primary practice location
267 Main St
Barnwell, SC 29812-1849
Mailing address
PO Box 405
Barnwell, SC 29812-0405
Phone (803) 259-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO7464 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 746 | SC | MD | Physical Therapist |
Interoperability endpoints
- edward.lemon.p1@direct.scdc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1437135795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298120405",
"telephone_number": "803-259-2020",
"fax_number": "803-259-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 MAIN ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121849",
"telephone_number": "803-259-2020",
"fax_number": "803-259-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMON",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "OD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DO7464",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barnwell, SC
- David Ray Kanagy Jr., PHARMD
- Majeed Kaun, M.D.
- Natasha Kennedy
- M O Khan, MD
- Laboratory Corporation of America Holdings
- Glenda Lee Levin, CRNA
- David R. Lewis, M.A.
- Roy L Lockard Jr., PSS
- Low Country Health Care System (Barnwell Family Medicine Pharmacy)
- Low Country Health Care System, Inc (Barnwell Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.