Active NPI
Stephen Buck
- Optometrist
- Spartanburg, SC
National Provider Identifier
1295850824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 591
- Legal business name
- STEPHEN BUCK
- Practice address
- 1855 E Main St
Ste 14, TMB 151
Spartanburg, SC 29307-2309 - Phone
- (252) 985-1371
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 3, 2008
- 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
- Stephen G Buck, OD
- Title
- Optometrist
- Phone
- (252) 985-1371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 591 | SC | Primary |
Addresses
Primary practice location
1855 E Main St
Ste 14, TMB 151
Spartanburg, SC 29307-2309
Mailing address
P O Box 7396
Rocky Mount, NC 27804-4837
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D05910 | Medicaid | SC | |
| P00308477 | Other | SC | RR MEDICARE PROV # |
National Provider Directory
National Provider DirectoryLocations
1855 E Main St
Ste 14
Spartanburg, SC 29307
Phone (828) 754-8886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1295850824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 7396",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278044837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 E MAIN ST",
"address_2": "STE 14, TMB 151",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293072309",
"telephone_number": "252-985-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN BUCK",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "BUCK",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "252-985-1371",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SC",
"license": "591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D05910",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROV #",
"identifier": "P00308477",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.