Organization Active NPI

Westminster Vision Associates

  • Optometrist
  • Clemson, SC
National Provider Identifier
1891770020
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1040 Issued in SC
Legal business name
WESTMINSTER VISION ASSOCIATES
Practice address
1390 Tiger Blvd Ste 102
Clemson, SC 29631-2617
Phone
(864) 654-4141
Fax
(864) 654-4144
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Mrs. Stacy J Krout
Title
Office Manager
Phone
(864) 654-4141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1040 SC Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 002217 CT
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 73286 MD

Addresses

Primary practice location

1390 Tiger Blvd Ste 102
Clemson, SC 29631-2617

Mailing address

1390 Tiger Blvd Ste 102
Clemson, SC 29631-2617
Phone (864) 654-4141

Other identifiers 1

IdentifierTypeStateIssuer
410037186OtherGARAILROAD RETIREMENT

National Provider Directory

National Provider Directory

Locations

1390 Tiger Blvd
Ste 102
Clemson, SC 29631
Phone (864) 654-4141

7611 Highway 76
Unit B
Pendleton, SC 29670
Phone (864) 646-3535

111 Retreat St
Westminster, SC 29693
Phone (864) 647-5076

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1891770020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 TIGER BLVD STE 102",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312617",
            "telephone_number": "864-654-4141",
            "fax_number": "864-654-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 TIGER BLVD STE 102",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312617",
            "telephone_number": "864-654-4141",
            "fax_number": "864-654-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "KROUT",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-654-4141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1040",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002217",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "73286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "410037186",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.