Organization Active NPI

Aiken Eyecare One LLC

  • Optometrist
  • Aiken, SC
National Provider Identifier
1679895593
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AIKEN EYECARE ONE LLC
Practice address
3553 Richland Ave W
Suite 136
Aiken, SC 29801-3089
Phone
(803) 641-4646
NPI assigned
Feb 19, 2010
Last updated
May 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Jeffrey L Sponseller, OD
Title
Owner
Phone
(803) 641-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3553 Richland Ave W
Suite 136
Aiken, SC 29801-3089

Mailing address

3553 Richland Ave W
Suite 136
Aiken, SC 29801-3089
Phone (803) 641-4646

Other identifiers 1

IdentifierTypeStateIssuer
DA9623MedicaidSC

National Provider Directory

National Provider Directory

Locations

1051 Silver Bluff Rd
Ste 136
Aiken, SC 29803
Phone (803) 641-4646

3553 Richland Ave W
Ste 136
Aiken, SC 29801
Phone (803) 641-4646

Practitioners & affiliated clinicians

Practitioners 1

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": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1679895593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 RICHLAND AVE W",
            "address_2": "SUITE 136",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013089",
            "telephone_number": "803-641-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 RICHLAND AVE W",
            "address_2": "SUITE 136",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013089",
            "telephone_number": "803-641-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIKEN EYECARE ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "SPONSELLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-641-4646",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9623",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.