Individual provider Active NPI

Donna M. Guettler, OPTOMETRIST

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1568451664
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
899 Issued in SC
Practice address
1730 Alyce LN
Rock Hill, SC 29732-1000
Phone
(803) 327-3030
Fax
(803) 327-3020
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 899 SC Primary

Addresses

Primary practice location

1730 Alyce LN
Rock Hill, SC 29732-1000

Mailing address

1730 Alyce LN
Rock Hill, SC 29732-1000
Phone (803) 327-3030

Other identifiers 1

IdentifierTypeStateIssuer
DO8999MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Infusion Services LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1568451664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 ALYCE LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321000",
            "telephone_number": "803-327-3030",
            "fax_number": "803-327-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 ALYCE LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321000",
            "telephone_number": "803-327-3030",
            "fax_number": "803-327-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUETTLER",
        "first_name": "DONNA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO8999",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.