NPIMap

Organization Active NPI

Wilkins Opticians of Spartanburg,Inc

  • Optician
  • Spartanburg, SC
National Provider Identifier
1669486718
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
583 Issued in SC
Legal business name
WILKINS OPTICIANS OF SPARTANBURG,INC
Practice address
404 McCravy Dr
Spartanburg, SC 29303-3178
Phone
(864) 585-2249
Fax
(864) 585-3020
NPI assigned
Jul 27, 2006
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Mr. Jeffrey Scott Wilkins, ABOMNPI 1306097712
Title
VP
Phone
(864) 585-2249

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
Optician 156FX1800X 583 SC Primary

Addresses

Primary practice location

404 McCravy Dr
Spartanburg, SC 29303-3178

Mailing address

404 McCravy Dr
Spartanburg, SC 29303-3178
Phone (864) 585-2249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930059760 SC DME Supplier - Physician - OptometristDME Supplier - Optician 5698894244 Practice locations: Spartanburg, SC
O20240113000450 SC Part B Supplier - Clinic/Group Practice 5698894244 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wilkins Opticians of Spartanburg,in404 McCravy Dr, Spartanburg, SC 29303-3178(864) 585-2249 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

404 McCravy Dr
Spartanburg, SC 29303
Phone (864) 585-2249

Practitioners & affiliated clinicians

Practitioners 4

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1669486718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MCCRAVY DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033178",
            "telephone_number": "864-585-2249",
            "fax_number": "864-585-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MCCRAVY DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033178",
            "telephone_number": "864-585-2249",
            "fax_number": "864-585-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINS OPTICIANS OF SPARTANBURG,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "864-585-2249",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOM"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.