Organization Active NPI

Hillcrest Eyecare, PA

  • Optometrist
  • Simpsonville, SC
National Provider Identifier
1316060007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HILLCREST EYECARE, PA
Practice address
309 SE Main St
Simpsonville, SC 29681-2653
Phone
(864) 963-4933
Fax
(864) 967-7020
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Crystal Vital
Title
Patient Accounts Manager
Phone
(864) 963-4933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

309 SE Main St
Simpsonville, SC 29681-2653

Mailing address

309 SE Main St
Simpsonville, SC 29681-2653
Phone (864) 963-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000897 SC Part B Supplier - Clinic/Group Practice 7416854781 Receives reassigned benefits from 3 practitioners
Practice locations: Greenville, SC; Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

433 SE Main St
Unit B
Simpsonville, SC 29681
Phone (864) 252-2400

309 SE Main St
Simpsonville, SC 29681
Phone (864) 963-4933

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316060007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812653",
            "telephone_number": "864-963-4933",
            "fax_number": "864-967-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812653",
            "telephone_number": "864-963-4933",
            "fax_number": "864-967-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "864-963-4933"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.