Individual provider Active NPI

Craig Thomas Rumple, O.D.

  • Optometrist
  • Simpsonville, SC
National Provider Identifier
1104962281
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
983 Issued in SC
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DO9835MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001312 SC Practitioner - Optometry 0749240919 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Craig T. Rumple, O.D., P.a. Optometrist CurrentSince Jan 1, 1999 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.

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

Verify at the official NPI Registry.