Upstate Eyes, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

16920 Issued in SC

Legal business name

UPSTATE EYES, PA

Practice address

125 Powell Mill Rd
Spartanburg, SC 29301-1531

Phone

(864) 576-7255

Fax

(864) 967-7020

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Stevens, ODNPI 1932267051

Title

Owner

Phone

(864) 963-4933

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Sean Micheal Stevens, O.D.

  • Optometrist
  • Simpsonville, SC
  • NPI 1932267051
  NPD (past) Authorized official
• Jeremy Ross Burns, OD

  • Optometrist
  • Spartanburg, SC
  • NPI 1699889998
  NPD (past)
• Heber Grant Sims, O.D.

  • Corneal and Contact Management Optometrist
  • Spartanburg, SC
  • NPI 1588661649
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1841477098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-576-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-576-7255",
            "fax_number": "864-967-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE EYES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-963-4933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "16920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Upstate Endodontics, Inc.
• Upstate Health Professionals,LLC
• Upstate Lung and Critical Care Specialists PC
• Upstate Mental Health, LLC
• Upstate Oral and Maxillofacial Surgery, P.a.
• Upstate Pediatric Pulmonary Specialists, PC

• Optometrist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.