Organization Active NPI

Dr. Jason S. Bailey P.C.

  • Optometrist
  • Beaufort, SC
National Provider Identifier
1609058783
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC1322 Issued in SC
Legal business name
DR. JASON S. BAILEY P.C.
Practice address
33 Kemmerlin Lane
Beaufort, SC 29907-2702
Phone
(843) 521-2020
Fax
(843) 524-7559
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dr. Jason S BaileyNPI 1295737625
Title
Owner
Phone
(843) 521-2020

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 SC1322 SC Primary

Addresses

Primary practice location

33 Kemmerlin Lane
Beaufort, SC 29907-2702

Mailing address

33 Kemmerlin Lane
Beaufort, SC 29907-2702
Phone (843) 521-2020

Other identifiers 1

IdentifierTypeStateIssuer
P00298650OtherSCRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

209 Charles St
Beaufort, SC 29902
Phone (843) 521-2020

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1609058783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 KEMMERLIN LANE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072702",
            "telephone_number": "843-521-2020",
            "fax_number": "843-524-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 KEMMERLIN LANE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072702",
            "telephone_number": "843-521-2020",
            "fax_number": "843-524-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JASON S. BAILEY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-521-2020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00298650",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.