NPIMap

Organization Active NPI

Upstate Vision Associates LLC

  • Optometrist
  • Greenville, SC
National Provider Identifier
1811553464
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
UPSTATE VISION ASSOCIATES LLC
Practice address
1137 Woodruff Rd Ste a
Greenville, SC 29607-4115
Phone
(864) 438-2079
Fax
(864) 234-4643
NPI assigned
May 18, 2019
Last updated
May 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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

Authorized official

Name
Dr. Ankur Patel, ODNPI 1447742606
Title
Optometrist
Phone
(803) 292-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1137 Woodruff Rd Ste a
Greenville, SC 29607-4115

Mailing address

30 Market Point Dr Apt 7206
Greenville, SC 29607-7900

National Provider Directory

National Provider Directory

Locations

1137 Woodruff Rd
Ste A
Greenville, SC 29607
Phone (864) 438-2075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558137600000",
    "number": "1811553464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARKET POINT DR APT 7206",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296077900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 WOODRUFF RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074115",
            "telephone_number": "864-438-2079",
            "fax_number": "864-234-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE VISION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "803-292-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.