Active NPI
Wade Edward Ligon, LICENSED OPTICIAN
- Optician
- Columbia, SC
National Provider Identifier
1649902008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 217
- Practice address
- 7520 Garners Ferry Rd
Columbia, SC 29209-2628 - Phone
- (803) 783-8348
- Fax
- (803) 783-0715
- NPI assigned
- Jun 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 217 | SC | Primary |
Addresses
Primary practice location
7520 Garners Ferry Rd
Columbia, SC 29209-2628
Mailing address
3253 Bagnal Dr
Columbia, SC 29204-3425
Phone (803) 665-8341
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
| License | State | Type | Specialty |
|---|---|---|---|
| 217 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656115200000",
"number": "1649902008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3253 BAGNAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292043425",
"telephone_number": "803-665-8341",
"fax_number": "803-783-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7520 GARNERS FERRY RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292092628",
"telephone_number": "803-783-8348",
"fax_number": "803-783-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGON",
"first_name": "WADE",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-25",
"last_updated": "2022-06-25",
"certification_date": "2022-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.