Dr. David W. Bang, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. DAVID W. BANG, P.C.

Practice address

9565 Highway 78
Building 900
Ladson, SC 29456-3912

Phone

(843) 764-3030

Fax

(843) 851-7448

NPI assigned

Jul 17, 2008

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

DR. DAVID W. BANG, P.C.As reported in NPPES

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

Authorized official

Name

Mrs. Tammy Lynne Hale-Bang

Title

Practice Administrator

Phone

(843) 764-3030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EXPERIENCED EYECARE,LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

Dr David W Bang PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr. David W. Bang, P.C.

  • Optometrist
  • Ladson, SC
  • NPI 1710174297
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David W Bang, OD

  • Optometrist
  • Summerville, SC
  • NPI 1003802687
  Medicare reassignment Care Compare group NPD
• Kimberly Marie Hunt, O.D.

  • Optometrist
  • Manning, SC
  • NPI 1851763726
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1538323654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 FAIRINGTON DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858675",
            "telephone_number": "843-764-3030",
            "fax_number": "843-851-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "BUILDING 900",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563912",
            "telephone_number": "843-764-3030",
            "fax_number": "843-851-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID W. BANG, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. DAVID W. BANG, P.C.",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HALE-BANG",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-764-3030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG8451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPERIENCED EYECARE,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Diamond Care Transportation LLC
• Danielle Dillard
• Heather Michelle Dixon, OTR/L
• Tess E Doty, OTR/L
• William Doyle
• Dr. David W. Bang, P.C.
• Dr. Patricia Nicklas (Nicklas Dental)
• Cenyetta Edell Drayton
• Lauren Dugan, MCD CCC-SLP
• E&RR Services LLC

• Optometrist in Ladson, SC
• Providers in Ladson, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.