R. E. JIMISON NPI 1639358724

NPI Information

NPI: 1639358724
Provider Name: R. E. JIMISON

Other Name: RAYMOND JIMISON

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
11 ROBERT SMALLS PKWY STE H
BEAUFORT, SC
ZIP 29906
Phone: (843) 524-8302
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R. E. JIMISON is an eyewear supplier in Beaufort, SC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. R. E. JIMISON NPI is 1639358724. The provider is registered as an organization entity type.
The provider Other Name Is Raymond Jimison.

The provider's business location address is:

11 ROBERT SMALLS PKWY STE H
BEAUFORT, SC
ZIP 29906-216
Phone: (843) 524-8302

The provider's authorized official is Sandra Humm Jimison .
The authorized official title is Optician and has the following contact phone number (843) 524-8302.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 4/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		634	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	140732	MEDICAID	SOUTH CAROLINA
2	8180	MEDICARE PIN	SOUTH CAROLINA
3	5239080001	MEDICARE NSC	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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