Active NPI
Upstate Vision Therapy Center Inc
- Vision Therapy Optometrist
- Mauldin, SC
National Provider Identifier
1710107446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- Legal business name
- UPSTATE VISION THERAPY CENTER INC
- Practice address
- 3 A Winchester CT
Mauldin, SC 29662 - Phone
- (864) 288-5882
- Fax
- (864) 288-5892
- NPI assigned
- Apr 26, 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. Billie P Skinner, OD
- Title
- President
- Phone
- (864) 288-5882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | Primary |
Addresses
Primary practice location
3 A Winchester CT
Mauldin, SC 29662
Mailing address
3 A Winchester CT
Mauldin, SC 29662
Phone (864) 288-5882
Other names 1
- Upstate Vision Therapy
National Provider Directory
National Provider DirectoryLocations
3A Winchester Ct
Mauldin, SC 29662
Phone (864) 288-5882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710107446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 A WINCHESTER CT",
"city": "MAULDIN",
"state": "SC",
"postal_code": "29662",
"telephone_number": "864-288-5882",
"fax_number": "864-288-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 A WINCHESTER CT",
"city": "MAULDIN",
"state": "SC",
"postal_code": "29662",
"telephone_number": "864-288-5882",
"fax_number": "864-288-5892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSTATE VISION THERAPY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "BILLIE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-288-5882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Upstate Vision Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.