Organization Active NPI

Rufus B. Antley, O.D.

Doing business as Saluda Vision Center

  • Optometrist
  • Saluda, SC
National Provider Identifier
1497830996
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
433 Issued in SC
Legal business name
RUFUS B. ANTLEY, O.D.
Doing business as
Saluda Vision Center
Practice address
108-A N. Jennings St.
Saluda, SC 29138
Phone
(864) 445-9667
Fax
(864) 445-9332
NPI assigned
Oct 25, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Barbara L Antley
Title
Office Manager
Phone
(803) 532-9870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 433 SC Primary

Addresses

Primary practice location

108-A N. Jennings St.
Saluda, SC 29138

Mailing address

117 W Church St
Batesburg, SC 29006-2108
Phone (803) 532-9870

Other identifiers 1

IdentifierTypeStateIssuer
DA9719MedicaidSC

Other names 1

  • Saluda Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

117 W Church St
Batesburg, SC 29006
Phone (803) 532-9870

108 N Jennings St
#A
Saluda, SC 29138
Phone (864) 445-9667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497830996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W CHURCH ST",
            "city": "BATESBURG",
            "state": "SC",
            "postal_code": "290062108",
            "telephone_number": "803-532-9870",
            "fax_number": "803-532-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108-A N. JENNINGS ST.",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "29138",
            "telephone_number": "864-445-9667",
            "fax_number": "864-445-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUFUS B. ANTLEY, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ANTLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-532-9870"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9719",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saluda Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saluda, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.