Milici Family Vision Ctr

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MILICI FAMILY VISION CTR

Practice address

877 North East Main St
Suite a
Simpsonville, SC 29681-2041

Phone

(864) 967-8582

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sara Hopkins Bopp, O.D.

Title

Owner

Phone

(864) 967-8582

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1437375482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 NORTH EAST MAIN ST",
            "address_2": "SUITE A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812041",
            "telephone_number": "864-967-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 NORTH EAST MAIN ST",
            "address_2": "SUITE A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812041",
            "telephone_number": "864-967-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILICI FAMILY VISION CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "BOPP",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "HOPKINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-967-8582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D09300",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "360666215",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "29160",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Merlin, COTA/L
• Brian Scott Merritt
• Tonja Merz, PHARM.D.
• Timothy Bernard Meyers, DDS
• Eric B Michael, OT
• Jaime Marie Miller, LISW-CP
• Kanisha Fordham Miller
• Lisa B Miller, PHD, FNP-BC
• Maria Miller, LPC
• Jasmine Mills, RN, IBCLC

• Optometrist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.