Piedmont Family Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

11752 Issued in SC

Legal business name

PIEDMONT FAMILY EYECARE

Practice address

165 Walton Dr
Gaffney, SC 29341-1268

Phone

(864) 489-6871

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Michael Dipasqua, O.D.NPI 1386636744

Title

Owner/Optometrist

Phone

(864) 489-6871

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Michael Dipasqua, OD

  • Optometrist
  • Gaffney, SC
  • NPI 1386636744
  NPD (past) Authorized official

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1114213584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WALTON DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411268",
            "telephone_number": "864-489-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WALTON DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411268",
            "telephone_number": "864-489-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "DIPASQUA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "864-489-6871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "11752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9790",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11752",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Petit, FNP-C
• Ebony Phillips
• Frank F Phillips, M.D.
• Physical Rehabilitation Group, LLC
• Physical Therapy, Inc.
• Piedmont Medical of SC LLC
• Pamela Jean Pingitore, LMBT
• Poole Family Eye Care LLC
• Poole Family Eye Care of Gaffney LLC
• Nikki Vess Poole

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.