NPIMap

Organization Active NPI

Pelham Vision Center

  • Optometrist
  • Greer, SC
National Provider Identifier
1346572583
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
945 Issued in SC
Legal business name
PELHAM VISION CENTER
Practice address
317 The Pkwy
Greer, SC 29650-4569
Phone
(864) 627-0634
Fax
(864) 627-1960
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Kerry R Steck, O.D.
Title
President
Phone
(864) 627-0634

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 945 SC Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1072 SC

Addresses

Primary practice location

317 The Pkwy
Greer, SC 29650-4569

Mailing address

317 The Pkwy
Greer, SC 29650-4569
Phone (864) 627-0634

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1346572583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 THE PKWY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504569",
            "telephone_number": "864-627-0634",
            "fax_number": "864-627-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 THE PKWY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504569",
            "telephone_number": "864-627-0634",
            "fax_number": "864-627-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "STECK",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-627-0634",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "945",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.