Shell Point Optical, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

879 Issued in SC

Legal business name

SHELL POINT OPTICAL, INC

Practice address

204 Midtown Dr
Beaufort, SC 29906-5203

Phone

(843) 521-4037

Fax

(843) 521-0138

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Sentman Henderson, OD

Title

President

Phone

(843) 521-4037

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1902945124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MIDTOWN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065203",
            "telephone_number": "843-521-4037",
            "fax_number": "843-521-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MIDTOWN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065203",
            "telephone_number": "843-521-4037",
            "fax_number": "843-521-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELL POINT OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SENTMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-521-4037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9885",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Health Associates, PA
• Gloria H Settles
• Evan H Sharpe
• Kristin Sheehan, PHARMD
• Shell Point Family Eyecare & Optical LLC
• Grace Shelledy, DDS
• Thurman Ray Sherbert, MD
• David P Shervin, ATC
• Jane Shinder
• Charles G. Shissias, M.D.

• Optometrist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.