Individual provider Active NPI

Lawrence Edwin Richard

  • Optician
  • North Charleston, SC
National Provider Identifier
1881804300
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
905 Issued in SC
Practice address
8096 Rivers Ave Ste a
North Charleston, SC 29406-9243
Phone
(843) 818-2020
Fax
(843) 818-2379
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 905 SC Primary

Addresses

Primary practice location

8096 Rivers Ave Ste a
North Charleston, SC 29406-9243

Mailing address

8096 Rivers Ave Ste a
North Charleston, SC 29406-9243
Phone (843) 818-2020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Impressions, a Limited Liability Corporation Optician Current Accepting new patients
Optical Impressions LLC Optician Current Accepting new patients

Locations

8096 Rivers Ave
Ste A
North Charleston, SC 29406
Phone (843) 818-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881804300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 RIVERS AVE STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069243",
            "telephone_number": "843-818-2020",
            "fax_number": "843-818-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 RIVERS AVE STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069243",
            "telephone_number": "843-818-2020",
            "fax_number": "843-818-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "LAWRENCE",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.