NPIMap

Organization Active NPI

Shine Optical, Inc

Doing business as Low Country Vision Center

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1902116320
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC 1149 Issued in SC
Legal business name
SHINE OPTICAL, INC
Doing business as
Low Country Vision Center
Practice address
1308 Theater Dr
Mt Pleasant, SC 29464-3398
Phone
(843) 216-1338
Fax
(843) 216-1487
NPI assigned
Oct 19, 2010
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Frederick Adrian Shinners Jr., O.D.NPI 1316916075
Title
President/Ceo
Phone
(843) 216-1338

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
Optometrist 152W00000X SC 1149 SC Primary

Addresses

Primary practice location

1308 Theater Dr
Mt Pleasant, SC 29464-3398

Mailing address

1308 Theater Dr
Mt Pleasant, SC 29464-3398
Phone (843) 216-1338

Other names 1

  • Low Country Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1308 Theater Dr
Mt Pleasant, SC 29464
Phone (843) 216-1338

1903 N Highway 17
Ste 100
Mt Pleasant, SC 29464
Phone (843) 216-1338

Practitioners & affiliated clinicians

Practitioners 2

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": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1902116320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 THEATER DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643398",
            "telephone_number": "843-216-1338",
            "fax_number": "843-216-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 THEATER DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643398",
            "telephone_number": "843-216-1338",
            "fax_number": "843-216-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SHINNERS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "843-216-1338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC 1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Low Country Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2012; 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.