Poole Family Eye Care of Spartanburg LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1414 Issued in SC

Legal business name

POOLE FAMILY EYE CARE OF SPARTANBURG LLC

Practice address

705 E Main St
Spartanburg, SC 29302-1281

Phone

(864) 585-3281

Fax

(864) 858-2255

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By 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. Brian J Poole, D.O.

Title

Sole Member

Phone

(864) 680-3037

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1952786345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80927",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296800016",
            "telephone_number": "864-436-1234",
            "fax_number": "864-963-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021281",
            "telephone_number": "864-585-3281",
            "fax_number": "864-858-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE FAMILY EYE CARE OF SPARTANBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "864-680-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1791",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1731",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "539",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elaine Plexico, RN
• PM & R Consultants PA (Palmetto Spine & Pain Physicians)
• Hallie Pobanz, D.O.
• Javier Jose Polania Gutierrez, MD
• Christopher Politi, PA-C
• Heather Poole, LMFT
• Leslie B Poole, SLP
• Mack C Poole, MD
• Necia McRee Pope, M.D.
• Sophia Porach, DMD

• Optometrist in Spartanburg, SC
• Providers in Spartanburg, 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 27, 2015; 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.