Active NPI
Tina Davis Easterling, OPTICIAN
- Optician
- Tega Cay, SC
National Provider Identifier
1811629280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 956
- Practice address
- 1151 Stonecrest Blvd
Tega Cay, SC 29708-6555 - Phone
- (803) 578-4135
- Fax
- (803) 578-4137
- NPI assigned
- Jun 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 956 | SC | Primary |
Addresses
Primary practice location
1151 Stonecrest Blvd
Tega Cay, SC 29708-6555
Mailing address
322 Blanche Cir
Rock Hill, SC 29730-4907
Phone (704) 617-8585
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 |
|---|---|---|---|
| 956 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656115200000",
"number": "1811629280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 BLANCHE CIR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304907",
"telephone_number": "704-617-8585",
"fax_number": "803-578-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 STONECREST BLVD",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297086555",
"telephone_number": "803-578-4135",
"fax_number": "803-578-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERLING",
"first_name": "TINA",
"middle_name": "DAVIS",
"name_prefix": "Ms.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-25",
"last_updated": "2022-06-25",
"certification_date": "2022-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tega Cay, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.