NPIMap

Organization Active NPI

Blackwell Eye Associates, P. a.

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1396724472
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
08220 Issued in SC
Legal business name
BLACKWELL EYE ASSOCIATES, P. A.
Practice address
1268 Ebenezer Rd
Rock Hill, SC 29732-2341
Phone
(803) 327-2001
Fax
(803) 327-9843
NPI assigned
Jan 17, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
James Britt Blackwell, ODNPI 1770572224
Title
Owner
Phone
(803) 327-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 08220 SC Primary

Addresses

Primary practice location

1268 Ebenezer Rd
Rock Hill, SC 29732-2341

Mailing address

1268 Ebenezer Rd
Rock Hill, SC 29732-2341
Phone (803) 327-2001

Other identifiers 1

IdentifierTypeStateIssuer
DA9891MedicaidSC

National Provider Directory

National Provider Directory

Locations

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1396724472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322341",
            "telephone_number": "803-327-2001",
            "fax_number": "803-327-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322341",
            "telephone_number": "803-327-2001",
            "fax_number": "803-327-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL EYE ASSOCIATES, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-327-2001",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "08220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9891",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.