Active NPI
Family Vision of Anderson
Doing business as Family Vision
- Optometrist
- Williamston, SC
National Provider Identifier
1306999867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1140
- Legal business name
- FAMILY VISION OF ANDERSON
- Doing business as
- Family Vision
- Practice address
- 900 Greenville Dr
Suite a
Williamston, SC 29697-1130 - Phone
- (864) 847-7657
- Fax
- (864) 847-9636
- NPI assigned
- Jan 19, 2007
- Last updated
- Apr 28, 2016
- 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
- Dr. Dirk E Graves, O.D.
- Title
- Optometrist
- Phone
- (864) 847-7657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1140 | SC | Primary |
Addresses
Primary practice location
900 Greenville Dr
Suite a
Williamston, SC 29697-1130
Mailing address
900 Greenville Dr
Williamston, SC 29697-1130
Phone (864) 847-7657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306999867 | Other | SC | LOCATION NPI |
Other names 1
- Family Vision
National Provider Directory
National Provider Directory- Tax ID family
- Family Vision
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Clemson, SC
- NPI 1144677477
Locations
900 Greenville Dr
#A
Williamston, SC 29697
Phone (864) 847-7657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1306999867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 GREENVILLE DR",
"city": "WILLIAMSTON",
"state": "SC",
"postal_code": "296971130",
"telephone_number": "864-847-7657",
"fax_number": "864-847-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 GREENVILLE DR",
"address_2": "SUITE A",
"city": "WILLIAMSTON",
"state": "SC",
"postal_code": "296971130",
"telephone_number": "864-847-7657",
"fax_number": "864-847-9636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY VISION OF ANDERSON",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "DIRK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "864-847-7657",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCATION NPI",
"identifier": "1306999867",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Vision",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Williamston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.