Individual provider Active NPI

Whitney O'Brian, O.D.

  • Optometrist
  • Greenville, SC
National Provider Identifier
1235491515
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1706 Issued in SC
Practice address
2304 W Parker Rd
Greenville, SC 29617
Phone
(864) 246-0964
Fax
(864) 246-2757
NPI assigned
Jun 12, 2012
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1706 SC Primary

Addresses

Primary practice location

2304 W Parker Rd
Greenville, SC 29617

Mailing address

2304 W Parker Rd
Greenville, SC 29617-2123
Phone (864) 246-0964

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
I20180920000308 SC Practitioner - Optometry 2062763626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2304 W Parker Rd
Greenville, SC 29617-2123
Phone (864) 246-0964

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Rose Eye Care PA Optometrist CurrentSince Jul 18, 2018 Accepting new patients

Locations

2304 W Parker Rd
Greenville, SC 29617
Phone (864) 246-0964

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1235491515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 W PARKER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296172123",
            "telephone_number": "864-246-0964",
            "fax_number": "864-246-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W PARKER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29617",
            "telephone_number": "864-246-0964",
            "fax_number": "864-246-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIAN",
        "first_name": "WHITNEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.