Poole Family Eye Care of Greenwood LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1414 Issued in SC

Legal business name

POOLE FAMILY EYE CARE OF GREENWOOD LLC

Practice address

853 Bypass 72 NW
Greenwood, SC 29649-1203

Phone

(864) 388-9663

Fax

(864) 388-9662

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brian Poole, OD

Title

Managing Member

Phone

(864) 388-9663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1144467689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 BYPASS 72 NW",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491203",
            "telephone_number": "864-388-9663",
            "fax_number": "864-388-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BYPASS 72 NW",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491203",
            "telephone_number": "864-388-9663",
            "fax_number": "864-388-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE FAMILY EYE CARE OF GREENWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "864-388-9663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Poag, RD, LDN
• Francisco A Polanco Zacarias, MD
• Viarda Licelot Polanco Zacarias, M.D
• Emily Polatty, RN
• Jowanda Alish Polly, B.S.
• Mitra Poorak, M.D.
• Jessica Powell Pope, NP
• Jessica Porter
• Michelle Caitlin Potts, PHARMD
• Danita Lynn Powell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.