Active NPI
Eddie Carroll Holcombe, O.D.
- Optometrist
- Anderson, SC
National Provider Identifier
1346664489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0440
- Practice address
- 3319 North Main Street
Anderson, SC 29621 - Phone
- (864) 261-3563
- NPI assigned
- Feb 10, 2014
- 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 | 0440 | SC | Primary |
Addresses
Primary practice location
3319 North Main Street
Anderson, SC 29621
Mailing address
P.O Box 1548
69 Sunset Blvd
Beaufort, SC 29901
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0440 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1346664489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 1548",
"address_2": "69 SUNSET BLVD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 NORTH MAIN STREET",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-261-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMBE",
"first_name": "EDDIE",
"middle_name": "CARROLL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "0440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.