Active NPI
Independent Optical
- Optometrist
- Mount Pleasant, SC
National Provider Identifier
1912461807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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- Infuscience South Carolina LLC (BioScrip Infusion Services)
- Infuscience South Carolina LLC (BioScrip Infusion Services)
- David Michael Ingraham, M.D.
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.