Northside Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1554 Issued in SC

Legal business name

NORTHSIDE VISION, LLC

Practice address

2603 Boiling Springs Rd
Suite B
Boiling Springs, SC 29316-6011

Phone

(864) 578-3926

NPI assigned

Mar 19, 2010

Last updated

Mar 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa F. Stiling, ODNPI 1174759948

Title

Sole Member

Phone

(864) 578-3926

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Stiling, O.D.

  • Optometrist
  • Boiling Springs, SC
  • NPI 1174759948
  Medicare reassignment Care Compare group NPD Authorized official
• Shivali P Desai, OD

  • Optometrist
  • Morganton, NC
  • NPI 1780939041

  SC

  Medicare reassignment Care Compare group NPD
• John Janvier, O.D.

  • Optometrist
  • Bluffton, SC
  • NPI 1346429503
  Medicare reassignment NPD
• Mitchel Lee Wess, O.D.

  • Optometrist
  • Mauldin, SC
  • NPI 1477642056
  Medicare reassignment NPD

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1184948150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BOILING SPRINGS RD",
            "address_2": "SUITE B",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166011",
            "telephone_number": "864-578-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BOILING SPRINGS RD",
            "address_2": "SUITE B",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166011",
            "telephone_number": "864-578-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "STILING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "864-578-3926",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrell Dupree Nesmith, D.O
• Katelin Lee Netherton, DC
• Phong Nguyen, DPT
• Erica Stacy Nix
• North Spartanburg Eye Center
• Chidimma Erimma Nzeh, MD
• Chelsea O'Neill, DPT
• Palmetto Eye & Laser Center, LLC
• Deondre Parks, PHARMD
• Jignesh Mukesh Patel, RPH

• Optometrist in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.