Organization Active NPI

Simpsonville Eye Care LLC

  • Optometrist
  • Simpsonville, SC
National Provider Identifier
1972870624
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIMPSONVILLE EYE CARE LLC
Practice address
3950 Grandview Dr
Simpsonville, SC 29680-3163
Phone
(864) 963-7213
Fax
(864) 963-7319
NPI assigned
Nov 23, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Mrs. Carol Justice
Title
Office Manager
Phone
(864) 399-4714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3950 Grandview Dr
Simpsonville, SC 29680-3163

Mailing address

3950 Grandview Dr
Simpsonville, SC 29680-3163
Phone (864) 963-7213

National Provider Directory

National Provider Directory

Locations

419 SE Main St
Simpsonville, SC 29681
Phone (304) 281-2292

419 SE Main St
Ste 300
Simpsonville, SC 29681
Phone (864) 417-2345

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1972870624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 GRANDVIEW DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296803163",
            "telephone_number": "864-963-7213",
            "fax_number": "864-963-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 GRANDVIEW DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296803163",
            "telephone_number": "864-963-7213",
            "fax_number": "864-963-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSONVILLE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-399-4714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.