Organization Active NPI

Greenwood Eye Clinic, P.a.

  • Ophthalmology Physician
  • Greenwood, SC
National Provider Identifier
1265418388
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GREENWOOD EYE CLINIC, P.A.
Practice address
665 West Alexander Road
Greenwood, SC 29646
Phone
(864) 227-2020
NPI assigned
Dec 20, 2005
Reactivated
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mrs. Cindy M. Esco
Title
Assistant Office Manager
Phone
(864) 227-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

665 West Alexander Road
Greenwood, SC 29646

Mailing address

PO Box 369
Greenwood, SC 29648-0369
Phone (864) 227-2020

Other identifiers 2

IdentifierTypeStateIssuer
PA0515MedicaidSC
CE6166OtherSCRAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050513000424 SC Part B Supplier - Clinic/Group Practice 8325089956 Receives reassigned benefits from 6 practitioners
Practice locations: Greenwood, SC
O20100930001001 SC DME Supplier - Physician - Ophthalmology 8325089956 Practice locations: Greenwood, SC

National Provider Directory

National Provider Directory

Locations

210 Wells Ave
Greenwood, SC 29646
Phone (864) 227-2020

101 Academy Ave
Greenwood, SC 29646
Phone (864) 227-8242

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/medflow_greenwood_eye_clinic

Practitioners & affiliated clinicians

Practitioners 9

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": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1265418388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296480369",
            "telephone_number": "864-227-2020",
            "fax_number": "864-227-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 WEST ALEXANDER ROAD",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "864-227-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD EYE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-01-28",
        "deactivation_date": "2009-02-26",
        "reactivation_date": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "ESCO",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "864-227-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0515",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CE6166",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.