NPIMap

Organization Active NPI

Macmillan Optical Inc

  • Preferred Provider Organization
  • Spartanburg, SC
National Provider Identifier
1528258753
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0991 Issued in SC
Legal business name
MACMILLAN OPTICAL INC
Practice address
1200 E Main St Ste 7
Spartanburg, SC 29307-1738
Phone
(864) 585-7807
Fax
(864) 585-8272
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Thomas F Macmillan, ODNPI 1154305910
Title
Owner
Phone
(864) 585-7807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0991 SC Primary

Addresses

Primary practice location

1200 E Main St Ste 7
Spartanburg, SC 29307-1738

Mailing address

1200 E Main St Ste 7
Spartanburg, SC 29307-1738
Phone (864) 585-7807

Other identifiers 1

IdentifierTypeStateIssuer
D09916MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Macmillan Optical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1528258753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MAIN ST STE 7",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071738",
            "telephone_number": "864-585-7807",
            "fax_number": "864-585-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MAIN ST STE 7",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071738",
            "telephone_number": "864-585-7807",
            "fax_number": "864-585-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACMILLAN OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MACMILLAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-585-7807",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "0991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D09916",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.