Organization Active NPI

Dr. David W. Bang, P.C.

  • Optometrist
  • Ladson, SC
National Provider Identifier
1710174297
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. DAVID W. BANG, P.C.
Practice address
9565 Highway 78
BLDG 900
Ladson, SC 29456-3912
Phone
(843) 824-3937
Fax
(843) 725-1434
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Mr. David W Bang, ODNPI 1003802687
Title
Owner
Phone
(843) 824-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9565 Highway 78
BLDG 900
Ladson, SC 29456-3912

Mailing address

9565 Highway 78
BLDG 900
Ladson, SC 29456-3912
Phone (843) 824-3937

Other identifiers 1

IdentifierTypeStateIssuer
DG8451OtherSCRR MEDICARE

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1710174297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "BLDG 900",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563912",
            "telephone_number": "843-824-3937",
            "fax_number": "843-725-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "BLDG 900",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563912",
            "telephone_number": "843-824-3937",
            "fax_number": "843-725-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID W. BANG, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-824-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG8451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.