Organization Active NPI

Craig T. Rumple, O.D., P.a.

  • Optometrist
  • Simpsonville, SC
National Provider Identifier
1700922853
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
983 Issued in SC
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

Updated by the provider on Oct 22, 2011

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.NPI 1104962281
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA9783MedicaidSC

Other names 1

  • Southern Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120322000755 SC Part B Supplier - Clinic/Group Practice 3870753148 Receives reassigned benefits from 1 practitioner
Practice locations: Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.