Organization Active NPI

Neighborly Optical LLC

  • Optometrist
  • North Charleston, SC
National Provider Identifier
1679918726
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jan 8, 2015

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.