Tracey Lynn Capps, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1440 Issued in SC

Practice address

900 US 52 Hwy
Lake City, SC 29560-5906

Phone

(843) 394-7626

Fax

(843) 394-8052

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1497587596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 OAK GROVE RD",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295413820",
            "telephone_number": "843-687-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 US 52 HWY",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295605906",
            "telephone_number": "843-394-7626",
            "fax_number": "843-394-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "1440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Campbell, FNP-BC
• Caring Companions Home Care Agency
• Caring Hearts Helping Hands LLC
• Carolinas Medical Alliance Inc (Carolinas Imaging-Lake City)
• Carolinas Medical Alliance Inc
• Carolinas Medical Alliance Inc (Carolinas Medical Alliance - Lake City Primary Care)

• Optician in Lake City, SC
• Providers in Lake City, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.