Active NPI
Rock Hill Eye Clinic, PA
- Optician
- Rock Hill, SC
National Provider Identifier
1881741239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 843
- Legal business name
- ROCK HILL EYE CLINIC, PA
- Practice address
- 1565 Ebenezer Rd
Rock Hill, SC 29732-3421 - Phone
- (803) 327-3111
- Fax
- (803) 327-9611
- NPI assigned
- Jan 5, 2007
- 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
- Gary Stone, OPTICIAN
- Title
- Manager
- Phone
- (803) 327-3111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 843 | SC | Primary |
Addresses
Primary practice location
1565 Ebenezer Rd
Rock Hill, SC 29732-3421
Mailing address
1565 Ebenezer Rd
Rock Hill, SC 29732-3421
Phone (803) 327-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV8439 | Medicaid | SC |
Other names 1
- Rock Hill Optical Services
National Provider Directory
National Provider Directory- Tax ID family
- Rock Hill Eye Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Fort Mill, SC
- NPI 1316246499
-
- Ophthalmology Physician
- Rock Hill, SC
- NPI 1003873308
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ophthalmology Physician
- Fort Mill, SC
- NPI 1316246499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881741239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323421",
"telephone_number": "803-327-3111",
"fax_number": "803-327-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323421",
"telephone_number": "803-327-3111",
"fax_number": "803-327-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK HILL EYE CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "803-327-3111",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DV8439",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rock Hill Optical Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.