NPIMap

Organization Active NPI

Poole Family Eye Care LLC

  • Optometrist
  • Gaffney, SC
National Provider Identifier
1710207741
Registry record updated Mar 2, 2011
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
539 Issued in SC
Legal business name
POOLE FAMILY EYE CARE LLC
Practice address
1502 W Floyd Baker Blvd
Gaffney, SC 29341-1271
Phone
(864) 489-9979
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Edgar Morgan Poole Jr., O.D.
Title
Managing Partner
Phone
(864) 489-9979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 539 SC Primary

Addresses

Primary practice location

1502 W Floyd Baker Blvd
Gaffney, SC 29341-1271

Mailing address

1502 W Floyd Baker Blvd
Gaffney, SC 29341-1271
Phone (864) 489-9979

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1710207741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W FLOYD BAKER BLVD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411271",
            "telephone_number": "864-489-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W FLOYD BAKER BLVD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411271",
            "telephone_number": "864-489-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "864-489-9979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.