Organization Active NPI

Thomas J. Haviland, OD, PC

  • Optometrist
  • Spartanburg, SC
National Provider Identifier
1770837007
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
775 Issued in SC
Legal business name
THOMAS J. HAVILAND, OD, PC
Practice address
2151 E. Main St.
Spartanburg, SC 29307-1441
Phone
(864) 579-2015
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Dr. Thomas J. Haviland, O.D.NPI 1982767281
Title
President
Phone
(864) 579-2015

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 775 SC Primary

Addresses

Primary practice location

2151 E. Main St.
Spartanburg, SC 29307-1441

Mailing address

813 Montclair CT.
Spartanburg, SC 29301-5348
Phone (864) 579-2015

Other identifiers 1

IdentifierTypeStateIssuer
D07758MedicaidSC

National Provider Directory

National Provider Directory

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": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1770837007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 MONTCLAIR CT.",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015348",
            "telephone_number": "864-579-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E. MAIN ST.",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071441",
            "telephone_number": "864-579-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. HAVILAND, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "HAVILAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-579-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07758",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.