Active NPI
Samuel D. Garrett OD, PA
- Optometrist
- Greenville, SC
National Provider Identifier
1932382363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 712
- Legal business name
- SAMUEL D. GARRETT OD, PA
- Practice address
- 210 Mills Ave
Greenville, SC 29605-4020 - Phone
- (864) 232-2779
- Fax
- (864) 232-2779
- NPI assigned
- Dec 7, 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
- Dr. Samuel David Garrett, OD
- Title
- Doctor/Owner
- Phone
- (864) 232-2779
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 712 | SC | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 714 | SC |
Addresses
Primary practice location
210 Mills Ave
Greenville, SC 29605-4020
Mailing address
210 Mills Ave
Greenville, SC 29605-4020
Phone (864) 232-2779
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410023165 | Other | SC | RAIL ROAD MEDICARE |
| CL3462 | Other | SC | RAIL ROAD MEDICARE |
| 0643360001 | Other | SC | DMEPOS |
| T24184 | Other | SC | UPIN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412553600000",
"number": "1932382363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054020",
"telephone_number": "864-232-2779",
"fax_number": "864-232-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054020",
"telephone_number": "864-232-2779",
"fax_number": "864-232-2779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL D. GARRETT OD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2014-10-06",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "864-232-2779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SC",
"license": "712",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "SC",
"license": "714",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "410023165",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CL3462",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMEPOS",
"identifier": "0643360001",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "T24184",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.