NPIMap

Organization Active NPI

Dr. Richard H. Blackwell & Associates, P.a.

  • Optometrist
  • Greenville, SC
National Provider Identifier
1255512752
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
706 Issued in SC
Legal business name
DR. RICHARD H. BLACKWELL & ASSOCIATES, P.A.
Practice address
700 Haywood Rd Ste 227
Haywood Mall
Greenville, SC 29607-6133
Phone
(864) 234-5350
Fax
(864) 234-5352
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Richard H. Blackwell, O.D.
Title
Owner
Phone
(864) 234-5350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 706 SC Primary

Addresses

Primary practice location

700 Haywood Rd Ste 227
Haywood Mall
Greenville, SC 29607-6133

Mailing address

700 Haywood Rd Ste 227
Haywood Mall
Greenville, SC 29607-6133
Phone (864) 234-5350

Other identifiers 1

IdentifierTypeStateIssuer
SC0706OtherSCEYEMED

National Provider Directory

National Provider Directory

Locations

101 Verdae Blvd
Ste 160
Greenville, SC 29607
Phone (864) 676-1123

700 Haywood Rd
Unit 227
Greenville, SC 29607
Phone (864) 234-5350

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1255512752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HAYWOOD RD STE 227",
            "address_2": "HAYWOOD MALL",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076133",
            "telephone_number": "864-234-5350",
            "fax_number": "864-234-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HAYWOOD RD STE 227",
            "address_2": "HAYWOOD MALL",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076133",
            "telephone_number": "864-234-5350",
            "fax_number": "864-234-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD H. BLACKWELL & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-234-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "SC0706",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.