Blue Ridge Vision Associates. PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLUE RIDGE VISION ASSOCIATES. PA

Practice address

312 Memorial Dr
Greer, SC 29650-1521

Phone

(864) 877-3031

NPI assigned

Apr 9, 2008

Last updated

Aug 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gordon S Johnson, ODNPI 1295841369

Title

President

Phone

(864) 877-3031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon Stanley Johnson, O.D.

  • Optometrist
  • Simpsonville, SC
  • NPI 1295841369
  Authorized official Same address or phone

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1053584151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MEMORIAL DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501521",
            "telephone_number": "864-877-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MEMORIAL DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501521",
            "telephone_number": "864-877-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE VISION ASSOCIATES. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-877-3031",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Funderburk Blauert, PHARMD
• Blossom Obstetrics, Gynecology & Infertility, P.a.
• Blue Ridge Connections ABA LLC
• Blue Ridge Laser Eye Associates, P.a.
• Blue Ridge Urology PA
• Anna Blue
• Camryn Blume, RBT
• Monica Aileen Boada Cordova, FNP-C
• Body Works Physical Therapy, LLC
• Arden Kay Boggs, PT

• Optometrist in Greer, SC
• Providers in Greer, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.