Active NPI
Craig T. Rumple, O.D., P.a.
- Optometrist
- Simpsonville, SC
National Provider Identifier
1700922853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 983
- Legal business name
- CRAIG T. RUMPLE, O.D., P.A.
- Doing business as
- Southern Eyecare
- Practice address
- 655 Fairview Rd
Suite L
Simpsonville, SC 29680-6777 - Phone
- (864) 963-2828
- Fax
- (864) 967-9099
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig Thomas Rumple, O.D.
- Title
- President
- Phone
- (864) 963-2828
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 983 | SC | Primary |
Addresses
Primary practice location
655 Fairview Rd
Suite L
Simpsonville, SC 29680-6777
Mailing address
655 Fairview Rd
Suite L
Simpsonville, SC 29680-6777
Phone (864) 963-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9783 | Medicaid | SC |
Other names 1
- Southern Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
655 Fairview Rd
Ste L
Simpsonville, SC 29680
Phone (864) 963-2828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Simpsonville, SC
- NPI 1104962281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319241600000",
"number": "1700922853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 FAIRVIEW RD",
"address_2": "SUITE L",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806777",
"telephone_number": "864-963-2828",
"fax_number": "864-967-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 FAIRVIEW RD",
"address_2": "SUITE L",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806777",
"telephone_number": "864-963-2828",
"fax_number": "864-967-9099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG T. RUMPLE, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2011-10-22",
"status": "A",
"authorized_official_last_name": "RUMPLE",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-963-2828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SC",
"license": "983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9783",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.