Individual provider Active NPI

Nichole Rosario, OD

  • Optometrist
  • Greenville, SC
National Provider Identifier
1023545985
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1985 Issued in SC
Practice address
101 Verdae Blvd Ste 160
Greenville, SC 29607-3836
Phone
(864) 676-1123
Fax
(864) 675-3835
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1985 SC Primary

Addresses

Primary practice location

101 Verdae Blvd Ste 160
Greenville, SC 29607-3836

Mailing address

850 Bud Arthur Bridge Rd
Cowpens, SC 29330-9771
Phone (864) 776-9000

Other names 1

  • Dr. Nichole Haberkorn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628003320 SC Practitioner - Optometry 1658627997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Eye Care LLCGroup PAC ID 5193992972, 22 clinicians

Practice addresses (Care Compare)

3131 Newberry Hwy
Saluda, SC 29138-0198
Phone (888) 840-3032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Richard H. Blackwell & Associates, P.a. Optometrist CurrentSince Oct 17, 2021 Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince May 12, 2025 Accepting new patients
Clemson Eye, PA Optometrist PastSince May 16, 2018 Accepting new patients

Locations

101 Verdae Blvd
Ste 160
Greenville, SC 29607
Phone (864) 676-1123

3131 Newberry Hwy
Saluda, SC 29138
Phone (800) 898-3232

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1023545985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BUD ARTHUR BRIDGE RD",
            "city": "COWPENS",
            "state": "SC",
            "postal_code": "293309771",
            "telephone_number": "864-776-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VERDAE BLVD STE 160",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073836",
            "telephone_number": "864-676-1123",
            "fax_number": "864-675-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "HABERKORN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.