Eye & Contact Lens Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

669 Issued in SC

Legal business name

EYE & CONTACT LENS ASSOCIATES, LLC

Practice address

807 By Pass 123
Seneca, SC 29678-4759

Phone

(864) 882-3338

Fax

(864) 885-0349

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

William T Nimmons, O.D.NPI 1821091042

Title

Owner

Phone

(864) 882-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William T Nimmons, OD

  • Optometrist
  • Seneca, SC
  • NPI 1821091042
  Medicare reassignment NPD Authorized official
• Grant D. Hill, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1831440577
  NPD
• John Stephen McPhail II, OD

  • Optometrist
  • Florence, SC
  • NPI 1568566719
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1043282452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296790249",
            "telephone_number": "864-882-3338",
            "fax_number": "864-885-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 BY PASS 123",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784759",
            "telephone_number": "864-882-3338",
            "fax_number": "864-885-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & CONTACT LENS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "NIMMONS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-882-3338",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9875",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Seneca, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.