Amber Nicole Padgett, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1375 Issued in SC

Practice address

115 E Church St
Leesville, SC 29070-7595

Phone

(803) 532-5339

Fax

(803) 532-5375

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1750151445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E CHURCH ST",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707595",
            "telephone_number": "803-532-5339",
            "fax_number": "803-532-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E CHURCH ST",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707595",
            "telephone_number": "803-532-5339",
            "fax_number": "803-532-5375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290738102",
            "country_code": "US",
            "telephone_number": "803-957-1839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Harbison Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292122248",
            "country_code": "US",
            "telephone_number": "803-732-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Bowers Miller, RD
• Alexander Leonard Montgomery Jr., MA, LPC
• Norman R. Smith, D.C., LLC
• Rachel Noelle O'Connor, PHARMD
• Catherine Cantrell Oxner, PH.D.
• Palmetto Ophthalmology Associates, P.a.
• Amanda Day Polk, LISW
• Reclaim Physical Therapy, LLC
• Ridge Pediatrics and Adolescent Center
• Beth Sanders, FNP

• All providers in Leesville, SC
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.