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

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, OD

Title

President

Phone

(864) 877-3031

Specialties & licenses 1

Addresses

Locations

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, RN
• Body Works Physical Therapy, LLC
• Arden Kay Boggs, PT

• All providers in Greer, SC
• 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.