Individual provider Active NPI

Rebecca Lynn Wright, LDO,NCLE,ABOC

  • Optician
  • Greenville, SC
National Provider Identifier
1053040352
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
974 Issued in SC
Practice address
1451 Woodruff Rd
Greenville, SC 29607-5741
Phone
(864) 234-5616
Fax
(864) 234-4996
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 974 SC Primary

Addresses

Primary practice location

1451 Woodruff Rd
Greenville, SC 29607-5741

Mailing address

1451 Woodruff Rd
Greenville, SC 29607-5741
Phone (864) 234-5616

Other practice location 1

14055 E Wade Hampton Blvd
Greer, SC 29651-1500
Phone (864) 877-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
974SCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1053040352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075741",
            "telephone_number": "864-234-5616",
            "fax_number": "864-234-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075741",
            "telephone_number": "864-234-5616",
            "fax_number": "864-234-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14055 E Wade Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296511500",
            "country_code": "US",
            "telephone_number": "864-877-5248",
            "fax_number": "864-877-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LDO,NCLE,ABOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 23, 2023; 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.