Active NPI
George F Lee, OPTICIAN
- Optician
- Mount Pleasant, SC
National Provider Identifier
1972551034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 262
- Practice address
- 401 W Coleman Blvd
Suite a
Mt Pleasant, SC 29464-3592 - Phone
- (843) 884-7321
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 262 | SC | Primary |
| Contact Lens Technician/Technologist | 156FC0800X | 50 | SC |
Addresses
Primary practice location
401 W Coleman Blvd
Suite a
Mt Pleasant, SC 29464-3592
Mailing address
401 W Coleman Blvd
Suite a
Mt Pleasant, SC 29464-3592
Phone (843) 884-7321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV2621 | 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 |
|---|---|---|---|
| 262 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George F. Lee | 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 and National Provider Directory roles.
-
- Optician
- Mount Pleasant, SC
- NPI 1447427216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1972551034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W COLEMAN BLVD",
"address_2": "SUITE A",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643592",
"telephone_number": "843-884-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W COLEMAN BLVD",
"address_2": "SUITE A",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643592",
"telephone_number": "843-884-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GEORGE",
"middle_name": "F",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "262",
"primary": true
},
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "SC",
"license": "50",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DV2621",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}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 Jan 12, 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.