Individual provider Active NPI

Doris Lorraine Hardee, ABOC, NCLE, LDO

  • Optician
  • Walterboro, SC
National Provider Identifier
1609592955
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
723 Issued in SC
Practice address
2110 Bells Hwy
Walterboro, SC 29488-6978
Phone
(843) 539-1568
Fax
(843) 539-1570
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 723 SC Primary

Addresses

Primary practice location

2110 Bells Hwy
Walterboro, SC 29488-6978

Mailing address

2110 Bells Hwy
Walterboro, SC 29488-6978
Phone (843) 539-1568

Other names 1

  • Mrs. Missy Hardee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
723SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1609592955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294886978",
            "telephone_number": "843-539-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294886978",
            "telephone_number": "843-539-1568",
            "fax_number": "843-539-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEE",
        "first_name": "DORIS",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "ABOC, NCLE,  LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISSY",
            "last_name": "HARDEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.