NPIMap

Organization Active NPI

Primary Care Optometry

  • Eyewear Supplier
  • Mount Pleasant, SC
National Provider Identifier
1841597408
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
739 Issued in SC
Legal business name
PRIMARY CARE OPTOMETRY
Practice address
855 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3446
Phone
(843) 881-2525
Fax
(843) 881-2578
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Keith G Farley, ODNPI 1477616647
Title
Owner
Phone
(843) 881-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 739 SC Primary

Addresses

Primary practice location

855 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3446

Mailing address

855 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3446
Phone (843) 881-2525

National Provider Directory

National Provider Directory

Locations

855 Houston Northcutt Blvd
Mt Pleasant, SC 29464
Phone (800) 969-3666

Practitioners & affiliated clinicians

Practitioners 4

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1841597408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 HOUSTON NORTHCUTT BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643446",
            "telephone_number": "843-881-2525",
            "fax_number": "843-881-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HOUSTON NORTHCUTT BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643446",
            "telephone_number": "843-881-2525",
            "fax_number": "843-881-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-881-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.