Active NPI
James Edward Roberts, LDO
- Optician
- N Charleston, SC
National Provider Identifier
1922265388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 172
- Practice address
- 7685 Northwoods Blvd
Suite 8F
N Charleston, SC 29406-4002 - Phone
- (843) 797-2090
- Fax
- (843) 797-3822
- NPI assigned
- May 21, 2008
- Last updated
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 172 | SC | Primary |
Addresses
Primary practice location
7685 Northwoods Blvd
Suite 8F
N Charleston, SC 29406-4002
Mailing address
7685 Northwoods Blvd
Suite 8F
N Charleston, SC 29406-4002
Phone (843) 797-2090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VA 9967 | Medicaid | SC | |
| 1235347659 | Medicaid | SC | |
| DV 1720 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172 | SC | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| See Y Eyecare Inc. | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1922265388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7685 NORTHWOODS BLVD",
"address_2": "SUITE 8F",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294064002",
"telephone_number": "843-797-2090",
"fax_number": "843-797-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7685 NORTHWOODS BLVD",
"address_2": "SUITE 8F",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294064002",
"telephone_number": "843-797-2090",
"fax_number": "843-797-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VA 9967",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235347659",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DV 1720",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.