Active NPI
William V Stevens, O.D.
- Optometrist
- Indian Land, SC
National Provider Identifier
1427185677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 964
- Practice address
- 10048 Charlotte Hwy ( Hwy 521 )
Indian Land, SC 29707-8113 - Phone
- (803) 802-4242
- NPI assigned
- Feb 27, 2007
- Last updated
- Aug 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 964 | SC | Primary |
Addresses
Primary practice location
10048 Charlotte Hwy ( Hwy 521 )
Indian Land, SC 29707-8113
Mailing address
218 Whitefriars LN
Matthews, NC 28105-2520
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 |
|---|---|---|---|
| 964 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens Sight Specialists LLC | Optometrist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1427185677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 WHITEFRIARS LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10048 CHARLOTTE HWY ( HWY 521 )",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297078113",
"telephone_number": "803-802-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "WILLIAM",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.