Active NPI
Terrell Thomas
- Optician
- Lake City, SC
National Provider Identifier
1801682414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1506
- Practice address
- 900 West Highway 52
Lake City, SC 29560 - Phone
- (843) 394-7626
- NPI assigned
- Apr 18, 2025
- Last updated
- Apr 18, 2025
- 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 | 1506 | SC | Primary |
Addresses
Primary practice location
900 West Highway 52
Lake City, SC 29560
Mailing address
2222 W Piccadilly Dr
Florence, SC 29501-6156
Phone (843) 616-0730
Other practice location 1
2014 S Irby St
Florence, SC 29505-3420
Phone (843) 292-0401
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 |
|---|---|---|---|
| 1506 | SC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1801682414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 W PICCADILLY DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016156",
"telephone_number": "843-616-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WEST HIGHWAY 52",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "29560",
"telephone_number": "843-394-7626"
}
],
"practiceLocations": [
{
"address_1": "2014 S Irby St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295053420",
"country_code": "US",
"telephone_number": "843-292-0401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "TERRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "1506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.