Sumter Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SUMTER OPTICAL, LLC

Practice address

365 West Wesmark Blvd
Sumter, SC 29150

Phone

(803) 905-8047

Fax

(803) 905-8047

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kristin Elizabeth Gay

Title

Billing

Phone

(803) 905-8047

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• James A Goodson III, M.D.

  • Ophthalmology Physician
  • Sumter, SC
  • NPI 1689677155
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1801945019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WEST WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-905-8047",
            "fax_number": "803-905-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WEST WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-905-8047",
            "fax_number": "803-905-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "803-905-8047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "043168838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3423",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumter N&R, LLC
• Sumter Nephrology LLC
• Sumter OBGYN PA
• Sumter Opco, LLC
• Sumter Operations LLC
• Sumter Oral & Maxillofacial Surgery PA
• Sumter Orthopaedic Associates, LLC
• Sumter Pathology Associates
• Sumter Pediatrics, P.a.
• Sumter Pediatrics, P.a.

• Eyewear Supplier in Sumter, SC
• Providers in Sumter, SC by specialty
• Eyewear Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.