Organization Active NPI

Independent Optical

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1912461807
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INDEPENDENT OPTICAL
Doing business as
Independent Optical
Practice address
1710 Shoremead Rd
Suite 420
Mount Pleasant, SC 29464
Phone
(843) 513-4742
NPI assigned
Jan 25, 2019
Last updated
Mar 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Dr. Gerald Sunkin, OD
Title
Owner
Phone
(330) 338-9067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1710 Shoremead Rd
Suite 420
Mount Pleasant, SC 29464

Mailing address

1025 Riverland Woods PL Apt 906
Charleston, SC 29412-4141
Phone (330) 338-9067

Other names 1

  • Independent Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1710 Shoremeade Rd
Ste 420
Mt Pleasant, SC 29464
Phone (843) 513-4742

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1912461807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 RIVERLAND WOODS PL APT 906",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124141",
            "telephone_number": "330-338-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 SHOREMEAD RD",
            "address_2": "SUITE 420",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-513-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "SUNKIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-338-9067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Independent Optical",
            "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 Mar 29, 2019; 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.