Active NPI
Scott W Nebel OD LLC
Doing business as Medivision
- Optometrist
- Walhalla, SC
National Provider Identifier
1871179101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SCOTT W NEBEL OD LLC
- Doing business as
- Medivision
- Practice address
- 105 N Earle St
Walhalla, SC 29691-2419 - Phone
- (724) 494-5480
- NPI assigned
- Mar 18, 2021
- Last updated
- Mar 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott William Nebel, O.D.
- Title
- Owner/Operator
- Phone
- (724) 494-5480
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
105 N Earle St
Walhalla, SC 29691-2419
Mailing address
104 Devenhill CT
Greer, SC 29650-4112
Phone (724) 494-5480
Other names 1
- Medivision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Optometrist
- Walhalla, SC
- NPI 1508392465
-
- Optometrist
- Pickens, SC
- NPI 1053452110
-
- Optometrist
- Greenville, SC
- NPI 1265413587
-
- Optometrist
- Easley, SC
- NPI 1518177708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616025600000",
"number": "1871179101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 DEVENHILL CT",
"city": "GREER",
"state": "SC",
"postal_code": "296504112",
"telephone_number": "724-494-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N EARLE ST",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296912419",
"telephone_number": "724-494-5480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT W NEBEL OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-02-28",
"status": "A",
"authorized_official_last_name": "NEBEL",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "724-494-5480",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medivision",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Walhalla, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.