Active NPI
John W Pratt, OPTICIAN
- Optician
- Lancaster, SC
National Provider Identifier
1699810804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 696
- Practice address
- 1240 Colonial Commons CT
Lancaster, SC 29720-2200 - Phone
- (803) 285-3333
- Fax
- (803) 286-1797
- NPI assigned
- Feb 21, 2007
- Last updated
- Mar 14, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 696 | SC | Primary |
Addresses
Primary practice location
1240 Colonial Commons CT
Lancaster, SC 29720-2200
Mailing address
1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV6967 | Medicaid | SC |
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 |
|---|---|---|---|
| 696 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1699810804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 COLONIAL COMMONS CT",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202200",
"telephone_number": "803-285-3333",
"fax_number": "803-286-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 COLONIAL COMMONS CT",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202200",
"telephone_number": "803-285-3333",
"fax_number": "803-286-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DV6967",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.