Organization Active NPI

Optical Express

  • Optometrist
  • Easley, SC
National Provider Identifier
1760054803
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTICAL EXPRESS
Practice address
5823 Calhoun Memorial Hwy Ste 2a
Easley, SC 29640-3874
Phone
(864) 855-6571
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Dr. Richard Michael Straker, OD
Title
Owner
Phone
(865) 855-6571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5823 Calhoun Memorial Hwy Ste 2a
Easley, SC 29640-3874

Mailing address

1812 N Main St
Greenville, SC 29609-4729
Phone (864) 316-9053

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL opexpr1@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1760054803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N MAIN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094729",
            "telephone_number": "864-316-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 CALHOUN MEMORIAL HWY STE 2A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403874",
            "telephone_number": "864-855-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "STRAKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-855-6571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "opexpr1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "gamil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Easley",
            "address_1": "5823 Calhoun Memorial Hwy Ste 2A",
            "city": "Easley",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296403874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.