Irefract PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IREFRACT PC

Practice address

211 W Blackstock Rd
Spartanburg, SC 29301-1382

Phone

(864) 256-3311

Fax

(864) 256-3322

NPI assigned

Aug 26, 2021

Organization subpart

No

Name

Drew Provost, OD

Title

Chief Optometrist

Phone

(512) 934-4444

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas E Garrison, MD

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1134131154
  NPD
• Beth Horner, O. D.

  • Optometrist
  • Kalispell, MT
  • NPI 1588725626
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2021.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1508533530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 E PINNACLE PEAK RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553581",
            "telephone_number": "801-791-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W BLACKSTOCK RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011382",
            "telephone_number": "864-256-3311",
            "fax_number": "864-256-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IREFRACT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "CHIEF OPTOMETRIST",
        "authorized_official_telephone_number": "512-934-4444",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Leigh Ireland, APRN
• Tameka Roman Irvin, FNP
• Clara Ines Isaza, CCC-SLP
• Lauren Isley, FNP
• Ivey-Osullivan Healthcare Services, PA

• All providers in Spartanburg, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.