Active NPI
C. Eric Richardson, OD
- Optometrist
- Belton, SC
National Provider Identifier
1174588859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0555
- Practice address
- 405 Anderson St
Belton, SC 29627-1945 - Phone
- (864) 338-5362
- Fax
- (864) 338-4388
- NPI assigned
- Apr 18, 2006
- Last updated
- Sep 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0555 | SC | Primary |
Addresses
Primary practice location
405 Anderson St
Belton, SC 29627-1945
Mailing address
PO Box 400
Belton, SC 29627-0400
Phone (864) 338-5362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0555 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1174588859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "BELTON",
"state": "SC",
"postal_code": "296270400",
"telephone_number": "864-338-5362",
"fax_number": "864-338-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 ANDERSON ST",
"city": "BELTON",
"state": "SC",
"postal_code": "296271945",
"telephone_number": "864-338-5362",
"fax_number": "864-338-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "C.",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "0555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.