Organization Active NPI

Galloway Regional Eye Center PA

  • Ophthalmology Physician
  • Greenwood, SC
National Provider Identifier
1285661454
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7563 Issued in SC
Legal business name
GALLOWAY REGIONAL EYE CENTER PA
Practice address
202 Overland Dr
Greenwood, SC 29646-4069
Phone
(864) 943-2010
Fax
(864) 323-0345
NPI assigned
Jun 26, 2006
Last updated
Mar 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Dr. Jerry E Galloway, MDNPI 1134128630
Title
Owner
Phone
(864) 943-2010

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 29742 SC
Ophthalmology Physician 207W00000X 7563 SC Primary

Addresses

Primary practice location

202 Overland Dr
Greenwood, SC 29646-4069

Mailing address

PO Box 49847
Greenwood, SC 29649-0015
Phone (864) 943-2010

Other identifiers 2

IdentifierTypeStateIssuer
DF8980OtherSCRAILROAD MEDICARE GROUP
GP4102MedicaidSC

National Provider Directory

National Provider Directory

Locations

1337 Medical Ridge Rd
Clinton, SC 29325
Phone (864) 833-1000

202 Overland Dr
Greenwood, SC 29646
Phone (864) 943-2010

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/gr57ec91

Practitioners & affiliated clinicians

Practitioners 3

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": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1285661454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49847",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296490015",
            "telephone_number": "864-943-2010",
            "fax_number": "964-323-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 OVERLAND DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464069",
            "telephone_number": "864-943-2010",
            "fax_number": "864-323-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY REGIONAL EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-943-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "29742",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "7563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF8980",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4102",
            "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 Mar 5, 2014; 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.