NPIMap

Organization Active NPI

Haberkorn Vision, LLC

  • Optometrist
  • Greenville, SC
National Provider Identifier
1487118162
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HABERKORN VISION, LLC
Practice address
101 Verdae Blvd Ste 160
Greenville, SC 29607-3836
Phone
(864) 676-1123
Fax
(864) 675-3835
NPI assigned
Jan 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Authorized official

Name
Nichole Haberkorn
Title
Owner
Phone
(864) 541-3509

Specialties & licenses 1

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

Addresses

Primary practice location

101 Verdae Blvd Ste 160
Greenville, SC 29607-3836

Mailing address

161 Hill Street Ext
Wellford, SC 29385-9558
Phone (864) 541-3509

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1548460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548460800000",
    "number": "1487118162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HILL STREET EXT",
            "city": "WELLFORD",
            "state": "SC",
            "postal_code": "293859558",
            "telephone_number": "864-541-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VERDAE BLVD STE 160",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073836",
            "telephone_number": "864-676-1123",
            "fax_number": "864-675-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABERKORN VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A",
        "authorized_official_last_name": "HABERKORN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-541-3509"
    },
    "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 Jan 26, 2019; 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.