Carolina Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CAROLINA OPTICAL, LLC

Practice address

503 W Butler Ave
Saluda, SC 29138-1313

Phone

(864) 445-2103

Fax

(864) 445-9696

NPI assigned

Feb 5, 2015

Last updated

Feb 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Montgomery Jr., MD

Title

Owner

Phone

(864) 833-0038

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1528459062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W BUTLER AVE",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291381313",
            "telephone_number": "864-445-2103",
            "fax_number": "864-445-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W BUTLER AVE",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291381313",
            "telephone_number": "864-445-2103",
            "fax_number": "864-445-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-833-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rand Bonnette, MA, CCC-SLP
• Angela Lanette Boyd, MASTER
• Jennifer P Campbell
• Summer Mayson Cantrell, FNP
• Carolina Health Centers, Inc. (Saluda Family Practice)
• Tracey Caughman
• Seung Kyu Choi, D.M.D.
• Nicole M Clark, PA-C
• Christopher Wayne Collins, DMD
• Kristi Rogers Collins, DMD

• Eyewear Supplier in Saluda, SC
• Providers in Saluda, SC by specialty
• Eyewear Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.