Active NPI
Craig Thomas Rumple, O.D.
- Optometrist
- Simpsonville, SC
National Provider Identifier
1104962281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 983
- Practice address
- 655 Fairview Rd
Suite L
Simpsonville, SC 29680-6777 - Phone
- (864) 963-2828
- Fax
- (864) 967-9099
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 983 | SC | Primary |
Addresses
Primary practice location
655 Fairview Rd
Suite L
Simpsonville, SC 29680-6777
Mailing address
655 Fairview Rd
Suite L
Simpsonville, SC 29680-6777
Phone (864) 963-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO9835 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
655 Fairview Rd
Suite L
Simpsonville, SC 29680-6777
Phone (864) 963-2828
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig T. Rumple, O.D., P.a. | Optometrist | Current | Accepting new patients |
Locations
655 Fairview Rd
Ste L
Simpsonville, SC 29680
Phone (864) 963-2828
Organizations & group practices 1
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.
-
- Optometrist
- Simpsonville, SC
- NPI 1700922853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104962281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 FAIRVIEW RD",
"address_2": "SUITE L",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806777",
"telephone_number": "864-963-2828",
"fax_number": "864-967-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 FAIRVIEW RD",
"address_2": "SUITE L",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806777",
"telephone_number": "864-963-2828",
"fax_number": "864-967-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMPLE",
"first_name": "CRAIG",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DO9835",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.