Optique

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTIQUE

Practice address

1510 Onyx Ridge Rd
Suite 101
Fort Mill, SC 29708

Phone

(803) 802-3937

NPI assigned

Oct 16, 2012

Last updated

Jul 16, 2014By 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. Nickolas Vastis, O.D.NPI 1376647396

Title

President

Phone

(803) 409-8333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Nickolas Andrew Vastis, O.D.

  • Optometrist
  • Columbia, SC
  • NPI 1376647396
  Medicare reassignment Care Compare group NPD Authorized official
• Brook A Vastis, OD

  • Optometrist
  • Columbia, SC
  • NPI 1811074669
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1891048872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ONYX RIDGE",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-802-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ONYX RIDGE RD",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-802-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "VASTIS",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-409-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Oltman, CCC-SLP
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• Omnidrip
• Ebele Gwendolyn Orazulike, MD
• Bridgette Orehek, NP
• Original Design Builders
• Julia Lynn Ormsby, MS
• Ortho Sport & Spine Physicians Fort Mill

• Optometrist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.

Verify at the official NPI Registry.