DR. JUSTINE J O'DELL (NPI# 1003220138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003220138 |
| Entity Type | Individual |
| Full Name | DR. JUSTINE J O'DELL |
| Credential | OD |
| Practice Address |
227 E Blackstock Rd Suite 200 Spartanburg SC 29301-2631 |
| Mailing Address |
4614 Old Spartanburg Rd Apt 34 Taylors SC 29687-4149 |
| Practice Telephone | 8645760564 |
| Mailing Telephone | 4194502606 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1823 | SC | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1823 | SC | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1823 | SC | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
1823 | SC | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
1823 | SC | Eye and Vision Services Providers |
| Street Address |
227 E BLACKSTOCK RD SUITE 200 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942262621 | Jeremy Patrick Anderson | Optometrist | 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2632 | 2006-04-06 |
| 1972628055 | Macmillan Optical, Inc. | Optometrist | 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2631 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821525023 | Lindsay Marie Wood | Optometrist | 1200 E Main St Ste 2, Spartanburg, SC 29307-1738 | 2017-05-18 |
| 1730562596 | Rachel Lynn Tanner | Optometrist | 104 Bain Dr, Spartanburg, SC 29307-3015 | 2015-06-29 |
| 1770837007 | Thomas J. Haviland, Od, PC | Optometrist | 2151 E. Main St., Spartanburg, SC 29307-1441 | 2012-11-08 |
| 1992894000 | Brent Ramby | Optometrist | 120 Dorman Commerce Dr, G, Spartanburg, SC 29301-2649 | 2006-10-12 |
| 1518074392 | Lara J Martin | Optometrist | 735 East Main St, Spartanburg, SC 29302-1281 | 2006-08-25 |
| 1699889998 | Jeremy Ross Burns | Optometrist | 2428 Reidville Rd, Spartanburg, SC 29301-3652 | 2006-08-17 |
| 1255357356 | Carolina Vision Associates, LLC | Optometrist | 180 N. Dean Street, Spartanburg, SC 29302-1517 | 2006-07-14 |
| 1306889548 | Jarrod Ralph Keller | Optometrist | 1066 Boiling Springs Rd, Spartanburg, SC 29303-2247 | 2006-06-14 |
| 1407811573 | Alva S Pack | Optometrist | 399 E Henry St, Spartanburg, SC 29302-2639 | 2006-04-20 |
| 1225092737 | Kerri Hopkins | Optometrist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2006-04-12 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.