Individual provider Active NPI

Bridget Whaley, OD

  • Optometrist
  • Greenville, SC
National Provider Identifier
1144671900
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1928 Issued in SC
Practice address
601 Halton Rd
Greenville, SC 29607-3403
Phone
(864) 458-7956
Fax
(864) 458-8390
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1928 SC Primary

Addresses

Primary practice location

601 Halton Rd
Greenville, SC 29607-3403

Mailing address

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Other practice location 1

5 Stevens St Ste 100
Greenville, SC 29605-4528
Phone (864) 250-6487

Other names 1

  • Bridget Veglia Former name

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
I20170717001675 SC Practitioner - Optometry 1557631082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jervey Eye Group PA 20 clinicians

Practice addresses (Care Compare)

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jervey Eye Group, PA Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Eye Associates of Charleston Inc Optometrist PastSince May 1, 2017 Accepting new patients
Jervey Eye Group, PA Optometrist Past Accepting new patients

Locations

220 S Pendleton St
Easley, SC 29640
Phone (864) 250-6484

601 Halton Rd
Greenville, SC 29607
Phone (864) 458-7956

5 Stevens St
Ste 100
Greenville, SC 29605
Phone (864) 250-6487

1 Colony Centre Way
Simpsonville, SC 29681
Phone (864) 458-3900

Organizations & group practices 3

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1144671900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Stevens St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054528",
            "country_code": "US",
            "telephone_number": "864-250-6487",
            "fax_number": "864-250-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "BRIDGET",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "VEGLIA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.