Organization Active NPI

Clemson Eye, PA

  • Optometrist
  • Hartsville, SC
National Provider Identifier
1629686373
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLEMSON EYE, PA
Practice address
504 S 4TH St
Hartsville, SC 29550-5720
Phone
(864) 654-6706
NPI assigned
Jul 20, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Lanita Weisenberger
Title
Credentialing Specialist
Phone
(864) 722-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

504 S 4TH St
Hartsville, SC 29550-5720

Mailing address

15 Southern Center CT
Easley, SC 29642-1533
Phone (864) 654-6706

Other practice location 1

528 Broad St Ste 101
Sumter, SC 29150-3368
Phone (864) 654-6706

National Provider Directory

National Provider Directory

Locations

931 Tiger Blvd
Clemson, SC 29631

112 John St
Ste 104
Easley, SC 29640
Phone (864) 855-0344

15 Southern Center Ct
Easley, SC 29642
Phone (864) 722-1133

2 Maple Tree Ct
Ste B
Greenville, SC 29615
Phone (864) 297-8777

360 Pelham Rd
Greenville, SC 29615
Phone (864) 622-5009

4200 E North St
Ste 2
Greenville, SC 29615
Phone (803) 528-7187

504 S 4th St
Hartsville, SC 29550
Phone (843) 332-7171

2735 Winnsboro Rd
Newberry, SC 29108
Phone (803) 276-4531

503 W Butler Ave
Saluda, SC 29138
Phone (800) 833-0620

273 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 657-6706

380 W Wesmark Blvd
Sumter, SC 29150

105 N Earle St
Walhalla, SC 29691
Phone (864) 638-9505

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1629686373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SOUTHERN CENTER CT",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421533",
            "telephone_number": "864-654-6706",
            "fax_number": "864-343-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505720",
            "telephone_number": "864-654-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Broad St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291503368",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEMSON EYE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "WEISENBERGER",
        "authorized_official_first_name": "LANITA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "864-722-1133"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.