NPIMap

Organization Active NPI

Sansbury Eye Center, Inc.

  • Optician
  • Irmo, SC
National Provider Identifier
1497714240
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
33 Issued in SC
Legal business name
SANSBURY EYE CENTER, INC.
Practice address
7588 Woodrow St
Irmo, SC 29063-2831
Phone
(803) 781-2123
Fax
(803) 749-0183
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Mr. Ray Allen Sansbury, OPTICIAN
Title
President/ Ceo
Phone
(803) 781-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 33 SC Primary

Addresses

Primary practice location

7588 Woodrow St
Irmo, SC 29063-2831

Mailing address

7588 Woodrow St
Irmo, SC 29063-2831
Phone (803) 781-2123

Other identifiers 3

IdentifierTypeStateIssuer
1093836124OtherSCNPI
1720109622OtherSCNPI
1902927031OtherSCNPI

National Provider Directory

National Provider Directory
Tax ID family
Sansbury Eye Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7588 Woodrow St
Irmo, SC 29063
Phone (803) 781-2123

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1497714240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7588 WOODROW ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632831",
            "telephone_number": "803-781-2123",
            "fax_number": "803-749-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7588 WOODROW ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632831",
            "telephone_number": "803-781-2123",
            "fax_number": "803-749-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANSBURY EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "SANSBURY",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "803-781-2123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093836124",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720109622",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902927031",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.