Organization Active NPI

Sherry J. Gilmer, OD LLC

  • Optometrist
  • Greenville, SC
National Provider Identifier
1376299198
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SHERRY J. GILMER, OD LLC
Practice address
3925 Pelham Rd.
Greenville, SC 29615-5004
Phone
(864) 234-8786
Fax
(864) 234-8756
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Sherry J. Gilmer, ODNPI 1831262435
Title
Optometrist/Owner
Phone
(864) 234-8786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3925 Pelham Rd.
Greenville, SC 29615-5004

Mailing address

3925 Pelham Rd.
Greenville, SC 29615-5004
Phone (864) 234-8786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220606000027 SC Part B Supplier - Clinic/Group Practice 8628456589 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1376299198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 PELHAM RD.",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155004",
            "telephone_number": "864-234-8786",
            "fax_number": "864-234-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 PELHAM RD.",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155004",
            "telephone_number": "864-234-8786",
            "fax_number": "864-234-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY J. GILMER, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "GILMER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "864-234-8786",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 2, 2022; 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.