North Spartanburg Eye Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

1545 Issued in SC

Legal business name

NORTH SPARTANBURG EYE CENTER

Practice address

8674 Asheville Highway
Boiling Springs, SC 29316

Phone

(843) 804-6412

Fax

(843) 357-1471

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Elliott Keller, ODNPI 1730320482

Title

Owner/Doctor

Phone

(864) 804-6412

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Elliott Michael Keller, O.D.

  • Optometrist
  • Boiling Springs, SC
  • NPI 1730320482
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1972934404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8674 ASHEVILLE HIGHWAY",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "29316",
            "telephone_number": "864-804-6412",
            "fax_number": "864-804-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8674 ASHEVILLE HIGHWAY",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "29316",
            "telephone_number": "843-804-6412",
            "fax_number": "843-357-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SPARTANBURG EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "864-804-6412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISC",
            "identifier": "1545",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MVP Staffing Solutions LLC
• Jarrell Dupree Nesmith, D.O
• Katelin Lee Netherton, DC
• Phong Nguyen, DPT
• Erica Stacy Nix
• Northside Vision, LLC
• Chidimma Erimma Nzeh, MD
• Chelsea O'Neill, DPT
• Palmetto Eye & Laser Center, LLC
• Deondre Parks, PHARMD

• Optometrist in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.