Organization Active NPI

John Steve McPhail OD

  • Optometrist
  • Boiling Springs, SC
National Provider Identifier
1013051010
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1083 Issued in SC
Legal business name
JOHN STEVE MCPHAIL OD
Practice address
4000 Highway 9
Boiling Springs, SC 29316-8501
Phone
(864) 814-5822
Fax
(864) 814-5811
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Steve McPhail, OD
Title
Owner
Phone
(864) 814-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1083 SC Primary

Addresses

Primary practice location

4000 Highway 9
Boiling Springs, SC 29316-8501

Mailing address

4000 Highway 9
Boiling Springs, SC 29316-8501
Phone (864) 814-5822

Other identifiers 1

IdentifierTypeStateIssuer
DA9823MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1013051010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293168501",
            "telephone_number": "864-814-5822",
            "fax_number": "864-814-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293168501",
            "telephone_number": "864-814-5822",
            "fax_number": "864-814-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN STEVE MCPHAIL OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "MCPHAIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-814-5822",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9823",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.