Adams Optical Dba Holly Hill Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

479 Issued in SC

Legal business name

ADAMS OPTICAL DBA HOLLY HILL EYE CLINIC

Doing business as

holly hill eye clinic

Practice address

190 Rental Dr.
Holly Hill, SC 29059

Phone

(803) 496-5261

Fax

(803) 496-5261

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ray L. Adams, O.D.

Title

President

Phone

(803) 496-5261

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• holly hill eye clinic Doing business as

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1619158771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290591030",
            "telephone_number": "803-496-5261",
            "fax_number": "803-496-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RENTAL DR.",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "29059",
            "telephone_number": "803-496-5261",
            "fax_number": "803-496-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS OPTICAL DBA HOLLY HILL EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-496-5261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9956",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "holly hill eye clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Holly Hill, SC
• Providers in Holly Hill, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.