Organization Active NPI

Electric City Eye Care

  • Optometrist
  • Anderson, SC
National Provider Identifier
1922327543
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1263 Issued in SC
Legal business name
ELECTRIC CITY EYE CARE
Practice address
1807B E Greenville St
Anderson, SC 29621-2034
Phone
(864) 245-9161
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Douglas Reed, ODNPI 1265533277
Title
Owner
Phone
(864) 245-9161

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1263 SC Primary

Addresses

Primary practice location

1807B E Greenville St
Anderson, SC 29621-2034

Mailing address

212 Thomas Welborn Rd
Anderson, SC 29625-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110307000763 SC Part B Supplier - Clinic/Group Practice 8325220759 Receives reassigned benefits from 1 practitioner
Practice locations: Anderson, SC

National Provider Directory

National Provider Directory

Locations

1807B E Greenville St
Anderson, SC 29621
Phone (864) 245-9161

1807 E Greenville St
Anderson, SC 29621
Phone (864) 224-2088

Practitioners & affiliated clinicians

Practitioners 1

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": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1922327543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 THOMAS WELBORN RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296256401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807B E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212034",
            "telephone_number": "864-245-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRIC CITY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-245-9161",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.