NPIMap

Organization Active NPI

Carolina Eye Care and Associates, PA

  • Optometrist
  • Anderson, SC
National Provider Identifier
1437541497
Registry record updated May 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1617 Issued in SC
Legal business name
CAROLINA EYE CARE AND ASSOCIATES, PA
Practice address
100 Country Club LN
Anderson, SC 29625-1717
Phone
(864) 224-5783
NPI assigned
Feb 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2015

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

Authorized official

Name
Alexander WardNPI 1740582931
Title
President
Phone
(864) 622-9863

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1616 SC
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1617 SC Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 782 SC

Addresses

Primary practice location

100 Country Club LN
Anderson, SC 29625-1717

Mailing address

212 Maret Rd
Townville, SC 29689-4227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150727000700 SC Part B Supplier - Clinic/Group Practice 2466765052 Receives reassigned benefits from 2 practitioners
Practice locations: Anderson, SC

National Provider Directory

National Provider Directory

Locations

100 Country Club Ln
Anderson, SC 29625
Phone (864) 224-5783

Practitioners & affiliated clinicians

Practitioners 3

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": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433030400000",
    "number": "1437541497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MARET RD",
            "city": "TOWNVILLE",
            "state": "SC",
            "postal_code": "296894227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251717",
            "telephone_number": "864-224-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE CARE AND ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2015-05-31",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-622-9863"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1616",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1617",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "782",
            "primary": false
        }
    ],
    "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 May 31, 2015; 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.