Individual provider Active NPI

Valerie S Urban, OPTOMETRIST

  • Optometrist
  • Greenville, SC
National Provider Identifier
1265413587
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1300 Issued in SC
Practice address
3529 Highway 153
Greenville, SC 29611-7515
Phone
(864) 295-3550
Fax
(864) 295-3242
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 1300 SC Primary

Addresses

Primary practice location

3529 Highway 153
Greenville, SC 29611-7515

Mailing address

PO Box 51096
Piedmont, SC 29673-2096
Phone (864) 295-3550

Other practice location 1

306 E Main St
Pickens, SC 29671-2385
Phone (864) 878-6060

Other identifiers 1

IdentifierTypeStateIssuer
D13000MedicaidSC

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
I20040914000776 SC Practitioner - Optometry 8426025917 Reassigns benefits to 2 organizations
Practice locations: Easley, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1268 Ebenezer Rd
Rock Hill, SC 29732-2341
Phone (803) 327-2001

306 E Main St
Pickens, SC 29671-2385
Phone (864) 878-6060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott W Nebel OD LLC Optometrist CurrentSince Apr 2, 2022 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Jul 14, 2023 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Jul 14, 2023 Accepting new patients
Highlands Optometry, PLLC Optometrist Past Accepting new patients

Locations

812 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-1825

306 E Main St
Pickens, SC 29671
Phone (864) 638-9505

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

105 N Earle St
Walhalla, SC 29691
Phone (864) 638-9505

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1265413587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51096",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296732096",
            "telephone_number": "864-295-3550",
            "fax_number": "864-295-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 HIGHWAY 153",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117515",
            "telephone_number": "864-295-3550",
            "fax_number": "864-295-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 E Main St",
            "address_purpose": "LOCATION",
            "city": "Pickens",
            "state": "SC",
            "postal_code": "296712385",
            "country_code": "US",
            "telephone_number": "864-878-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBAN",
        "first_name": "VALERIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.