Active NPI
Westminster Vision Associates PC
- Optometrist
- Greenville, SC
National Provider Identifier
1003095076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WESTMINSTER VISION ASSOCIATES PC
- Practice address
- 50 E Antrim Dr
Greenville, SC 29607-2504 - Phone
- (864) 235-8778
- Fax
- (864) 235-8783
- NPI assigned
- Oct 26, 2007
- Organization subpart
- Yes
- Parent organization
- WESTMINSTER VISION ASSOCIATES PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Kyle Coppola, OD
- Title
- Owner
- Phone
- (864) 647-5076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | SC | Primary |
Addresses
Primary practice location
50 E Antrim Dr
Greenville, SC 29607-2504
Mailing address
50 E Antrim Dr
Greenville, SC 29607-2504
Phone (864) 235-8778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9850 | Medicaid | SC |
Other names 1
- One Way Eyeglasses
National Provider Directory
National Provider Directory- Tax ID family
- Westminster Vision Associates PC
- Part of
- Westminster Vision Associates PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Westminster, SC
- NPI 1457639494
Locations
50 E Antrim Dr
Greenville, SC 29607
Phone (864) 235-8778
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Clemson, SC
- NPI 1891770020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1003095076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E ANTRIM DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072504",
"telephone_number": "864-235-8778",
"fax_number": "864-235-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E ANTRIM DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072504",
"telephone_number": "864-235-8778",
"fax_number": "864-235-8783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTMINSTER VISION ASSOCIATES PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTMINSTER VISION ASSOCIATES PC",
"enumeration_date": "2007-10-26",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "COPPOLA",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-647-5076",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9850",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "One Way Eyeglasses",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.