Organization Active NPI

Westminster Vision Associates PC

  • Optometrist
  • Greenville, SC
National Provider Identifier
1003095076
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA9850MedicaidSC

Other names 1

  • One Way Eyeglasses Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Westminster Vision Associates PC2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.