NPIMap

Organization Active NPI

Sansbury Vision Services LLC

  • Optometrist
  • Irmo, SC
National Provider Identifier
1669907671
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0838 Issued in SC
Legal business name
SANSBURY VISION SERVICES LLC
Practice address
7588 Woodrow St
Irmo, SC 29063-2874
Phone
(803) 781-2123
Fax
(803) 749-0183
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Mr. Ray A Sansbury, OPTICIAN
Title
Ceo
Phone
(803) 781-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0838 SC Primary

Addresses

Primary practice location

7588 Woodrow St
Irmo, SC 29063-2874

Mailing address

275 Harbison Blvd Ste T
Columbia, SC 29212-2222
Phone (803) 781-2071

National Provider Directory

National Provider Directory
Tax ID family
Sansbury Vision Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1669907671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HARBISON BLVD STE T",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122222",
            "telephone_number": "803-781-2071",
            "fax_number": "803-781-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7588 WOODROW ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632874",
            "telephone_number": "803-781-2123",
            "fax_number": "803-749-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANSBURY VISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "SANSBURY",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-781-2123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "0838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.