Active NPI
Richard H. Blackwell, O.D.
- Optometrist
- Greenville, SC
National Provider Identifier
1326157207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 706
- Practice address
- 700 Haywood Rd Ste 227
Haywood Mall
Greenville, SC 29607-6133 - Phone
- (864) 234-5350
- Fax
- (864) 234-5352
- NPI assigned
- Aug 30, 2006
- Last updated
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 706 | SC | Primary |
Addresses
Primary practice location
700 Haywood Rd Ste 227
Haywood Mall
Greenville, SC 29607-6133
Mailing address
700 Haywood Rd Ste 227
Haywood Mall
Greenville, SC 29607-6133
Phone (864) 234-5350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC0706 | Other | SC | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706 | SC | MD | Clinical Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Greenville, SC
- NPI 1255512752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1326157207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HAYWOOD RD STE 227",
"address_2": "HAYWOOD MALL",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076133",
"telephone_number": "864-234-5350",
"fax_number": "864-234-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HAYWOOD RD STE 227",
"address_2": "HAYWOOD MALL",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076133",
"telephone_number": "864-234-5350",
"fax_number": "864-234-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "RICHARD",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "SC0706",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.