Organization Active NPI

Bright Sight Eyecare Inc

  • Optometrist
  • Lexington, SC
National Provider Identifier
1558533299
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1444 Issued in SC
Legal business name
BRIGHT SIGHT EYECARE INC
Practice address
1780 S Lake Dr
Lexington, SC 29073-8102
Phone
(803) 356-1414
Fax
(803) 356-0515
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. David Bryon Pratt, O.D.NPI 1679679575
Title
Owner
Phone
(803) 397-6605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1444 SC Primary

Addresses

Primary practice location

1780 S Lake Dr
Lexington, SC 29073-8102

Mailing address

340 Siddington Way
Lexington, SC 29073-9722
Phone (803) 356-1414

Other identifiers 1

IdentifierTypeStateIssuer
D14447MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000243 SC Part B Supplier - Clinic/Group Practice 0244301414 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1558533299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SIDDINGTON WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739722",
            "telephone_number": "803-356-1414",
            "fax_number": "803-356-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738102",
            "telephone_number": "803-356-1414",
            "fax_number": "803-356-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIGHT EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-397-6605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14447",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.