Organization Active NPI

Michael E Baldwin OD PC

Doing business as Eastside Eyecare

  • Optometrist
  • Greer, SC
National Provider Identifier
1265677405
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0761 Issued in SC
Legal business name
MICHAEL E BALDWIN OD PC
Doing business as
Eastside Eyecare
Practice address
2411 Hudson Rd
Greer, SC 29650-2923
Phone
(864) 268-4204
Fax
(864) 268-4244
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Michael E Baldwin, ODNPI 1437240116
Title
Owner
Phone
(864) 268-4204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0761 SC Primary

Addresses

Primary practice location

2411 Hudson Rd
Greer, SC 29650-2923

Mailing address

2411 Hudson Rd
Greer, SC 29650-2923
Phone (864) 268-4204

Other names 1

  • Eastside Eyecare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1265677405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 HUDSON RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502923",
            "telephone_number": "864-268-4204",
            "fax_number": "864-268-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HUDSON RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502923",
            "telephone_number": "864-268-4204",
            "fax_number": "864-268-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E BALDWIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-268-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "0761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.