Active NPI
Neighborly Optical LLC
- Optometrist
- North Charleston, SC
National Provider Identifier
1679918726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NEIGHBORLY OPTICAL LLC
- Practice address
- 7013 Dorchester Rd
Suite D
North Charleston, SC 29418-3407 - Phone
- (843) 552-2070
- Fax
- (843) 552-2088
- NPI assigned
- May 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Lamar Engram
- Title
- Owner/ Optician
- Phone
- (843) 552-2070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
7013 Dorchester Rd
Suite D
North Charleston, SC 29418-3407
Mailing address
7013 Dorchester Rd
Suite D
North Charleston, SC 29418-3407
Phone (843) 552-2070
Other names 1
- Neighborly Optical LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1679918726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7013 DORCHESTER RD",
"address_2": "SUITE D",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294183407",
"telephone_number": "843-552-2070",
"fax_number": "843-552-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7013 DORCHESTER RD",
"address_2": "SUITE D",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294183407",
"telephone_number": "843-552-2070",
"fax_number": "843-552-2088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORLY OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-02",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "ENGRAM",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "OWNER/ OPTICIAN",
"authorized_official_telephone_number": "843-552-2070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neighborly Optical LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.