NPIMap

Organization Active NPI

Scheele Eye Associates, PC

  • Optometrist
  • Sumter, SC
National Provider Identifier
1649249541
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
864 Issued in SC
Legal business name
SCHEELE EYE ASSOCIATES, PC
Practice address
127 Broad St
Sumter, SC 29150-4225
Phone
(803) 773-4313
Fax
(803) 773-4314
NPI assigned
Mar 14, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Larry M Scheele, ODNPI 1568518447
Title
Owner/Optometrist
Phone
(803) 773-4313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 864 SC Primary

Addresses

Primary practice location

127 Broad St
Sumter, SC 29150-4225

Mailing address

127 Broad St
Sumter, SC 29150-4225
Phone (803) 773-4313

Other identifiers 1

IdentifierTypeStateIssuer
DA9974MedicaidSC

National Provider Directory

National Provider Directory

Locations

127 Broad St
Sumter, SC 29150
Phone (803) 773-4313

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1649249541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504225",
            "telephone_number": "803-773-4313",
            "fax_number": "803-773-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504225",
            "telephone_number": "803-773-4313",
            "fax_number": "803-773-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHEELE EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "SCHEELE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "803-773-4313",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9974",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.