R. E. Jimison

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

634 Issued in SC

Legal business name

R. E. JIMISON

Practice address

11 Robert Smalls Pkwy Ste H
Beaufort, SC 29906-4216

Phone

(843) 524-8302

NPI assigned

Oct 25, 2007

Last updated

Apr 8, 2011By 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

Sandra Humm Jimison

Title

Optician

Phone

(843) 524-8302

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• raymond jimison Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Ellsworth Jimison II, O.D.

  • Optometrist
  • Beaufort, SC
  • NPI 1346206919
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1639358724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBERT SMALLS PKWY STE H",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299064216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROBERT SMALLS PKWY STE H",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299064216",
            "telephone_number": "843-524-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. E. JIMISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "JIMISON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "HUMM",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "843-524-8302"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140732",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "raymond jimison",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlin Putnam
• Dallas Pyron, CPSS
• Charles Thomas Quasney, DMD
• Tiffany Nicole Quimbley, MA
• Courtney Hill Quinn, LPC
• Katherine Mae Rabasco, MS, OTR/L
• Radford Psychiatry LLC
• Tiffany Rahn, PA-C
• Ralph H. Johnson VA Medical Center
• Ana Christina Ramirez, LMSW

• Eyewear Supplier in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Eyewear Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.