Organization Active NPI

Sthomasinc

  • Optometrist
  • Murrells Inlet, SC
National Provider Identifier
1609235829
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1676 Issued in SC
Legal business name
STHOMASINC
Practice address
11947 Grandhaven Dr Ste M
Murrells Inlet, SC 29576-7862
Phone
(843) 299-2485
Fax
(843) 299-2486
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Dr. Shawn Thomas, OD
Title
Owner
Phone
(843) 655-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1676 SC Primary

Addresses

Primary practice location

11947 Grandhaven Dr Ste M
Murrells Inlet, SC 29576-7862

Mailing address

11947 Grandhaven Dr Ste M
Murrells Inlet, SC 29576-7862
Phone (843) 299-2485

Other identifiers 1

IdentifierTypeStateIssuer
D16766MedicaidSC

National Provider Directory

National Provider Directory

Locations

11947 Grandhaven Dr
Ste M
Murrells Inlt, SC 29576
Phone (843) 299-2465

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1609235829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11947 GRANDHAVEN DR STE M",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767862",
            "telephone_number": "843-299-2485",
            "fax_number": "843-299-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11947 GRANDHAVEN DR STE M",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767862",
            "telephone_number": "843-299-2485",
            "fax_number": "843-299-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STHOMASINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-655-5890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D16766",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.