Active NPI
Greenwood Eye Clinic, P.a.
- Ophthalmology Physician
- Greenwood, SC
National Provider Identifier
1265418388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA0515 | Medicaid | SC | |
| CE6166 | Other | SC | RAILROAD MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
210 Wells Ave
Greenwood, SC 29646
Phone (864) 227-2020
101 Academy Ave
Greenwood, SC 29646
Phone (864) 227-8242
Interoperability endpoints
- 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.
-
- Ophthalmology Physician
- Greenwood, SC
- NPI 1184621443
-
- Ophthalmology Physician
- Greenwood, SC
- NPI 1003013970
-
- Ophthalmology Physician
- Greenwood, SC
- NPI 1548267800
-
- Ophthalmology Physician
- Greenwood, SC
- NPI 1649398579
-
- Physician Assistant
- Spartanburg, SC
- NPI 1053656140
-
- Ophthalmology Physician
- Greenwood, SC
- NPI 1730186099
-
- Ophthalmology Physician
- Greenwood, SC
- NPI 1548263643
-
- Ophthalmology Physician
- Greenwood, SC
- NPI 1134128630
-
- Ophthalmology Physician
- Augusta, GA
- NPI 1366699555
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.