Organization Active NPI

Family Vision of Anderson

  • Optometrist
  • Clemson, SC
National Provider Identifier
1144677477
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC1140 Issued in SC
Legal business name
FAMILY VISION OF ANDERSON
Practice address
518 College Ave
200
Clemson, SC 29631-2917
Phone
(864) 226-6041
Fax
(864) 226-1232
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Dr. Randall Baughman, OD
Title
Owner
Phone
(864) 226-6041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SC1140 SC Primary

Addresses

Primary practice location

518 College Ave
200
Clemson, SC 29631-2917

Mailing address

518 College Ave
200
Clemson, SC 29631-2917
Phone (864) 226-6041

National Provider Directory

National Provider Directory
Tax ID family
Family Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1144677477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 COLLEGE AVE",
            "address_2": "200",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312917",
            "telephone_number": "864-226-6041",
            "fax_number": "864-226-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 COLLEGE AVE",
            "address_2": "200",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312917",
            "telephone_number": "864-226-6041",
            "fax_number": "864-226-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION OF ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "BAUGHMAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-226-6041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.