The Center for Advanced Eye Care

Primary specialty

SpecialistTaxonomy code 174400000X

License

14122 Issued in SC

Legal business name

THE CENTER FOR ADVANCED EYE CARE

Practice address

7 Pointe Cir
Greenville, SC 29615-3505

Phone

(864) 627-0224

Fax

(864) 329-1401

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Gretchen Kornblum

Title

Office Administrator

Phone

(864) 627-0224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Cntr for Advanced Eye Doing business as

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1497767883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 POINTE CIRCLE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153505",
            "telephone_number": "864-627-0224",
            "fax_number": "864-329-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 POINTE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153505",
            "telephone_number": "864-627-0224",
            "fax_number": "864-329-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ADVANCED EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KORNBLUM",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-627-0224"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "14122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2040",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cntr for Advanced Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.