Blue Ridge Laser Eye Associates, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BLUE RIDGE LASER EYE ASSOCIATES, P.A.

Practice address

1014 W Poinsett St
Greer, SC 29650-1315

Phone

(828) 894-3037

Fax

(828) 894-7041

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 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

Geneva Nelon

Title

Billing Administrator

Phone

(828) 894-3037

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1841477858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501315",
            "telephone_number": "828-894-3037",
            "fax_number": "828-894-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501315",
            "telephone_number": "828-894-3037",
            "fax_number": "828-894-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE LASER EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "NELON",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "828-894-3037"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICARE",
            "identifier": "2333605",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012RE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF8060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICARE",
            "identifier": "8597",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Blanco
• Pamela Cline Blanton
• Margaret Funderburk Blauert, PHARMD
• Blossom Obstetrics, Gynecology & Infertility, P.a.
• Blue Ridge Connections ABA LLC
• Blue Ridge Urology PA
• Blue Ridge Vision Associates. PA
• Anna Blue
• Camryn Blume, RBT
• Monica Aileen Boada Cordova, FNP-C

• Ophthalmology Physician in Greer, SC
• Providers in Greer, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.