Donita L Vade OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1610 Issued in SC

Legal business name

DONITA L VADE OD LLC

Practice address

220 N Main St Ste 500
Greenville, SC 29601-2129

Phone

(864) 275-8775

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Donita Lou Vade, O.D.

Title

Manager

Phone

(864) 644-9014

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1497184972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 OLD SPARTANBURG RD",
            "address_2": "NUM 320",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502704",
            "telephone_number": "864-644-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 500",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012129",
            "telephone_number": "864-275-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONITA L VADE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "VADE",
        "authorized_official_first_name": "DONITA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "864-644-9014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INVIDIUAL NPI",
            "identifier": "1669519864",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA91100281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Keith Elmore DC LLC
• Donald L. Herndon DMD PA
• Donelson Eye Associates
• David M. Donelson, M.D.
• Cynthia Anne Doney, LPC, LPCC-S, LMHC
• Martin Andrew Donlan III, M.D., M.S.
• Jane Elizabeth Donnan
• Deana Donnelly, PHARMD
• Donnelly Donovan
• Joellen Donzella, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.