DR. JEREMY PATRICK ANDERSON (NPI# 1942262621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942262621 |
Entity Type | Individual |
Full Name | DR. JEREMY PATRICK ANDERSON |
Credential | O.D. |
Practice Address |
227 E Blackstock Rd Suite 200 Spartanburg SC 29301-2632 |
Mailing Address |
118 Musgrove St Clinton SC 29325-2350 |
Practice Telephone | 8645857807 |
Practice Fax Number | 8645858272 |
Mailing Telephone | 8648335555 |
Enumeration Date | 2006-04-06 |
Last Update Date | 2008-05-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 1321 | SC | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | PROVIDER ID NUMBER | AA05988525 | 01 |
SC | D13215 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
1457732760 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2015-06-11 |
1730346362 | Jeremy Michael Anderson | Dentist | 2412 Meridian Rd, Victor, MT 59875 | 2008-05-21 |
1558495093 | Jeremy James Anderson | Chiropractor | 211 Euclid St, Grandview, WA 98930-1160 | 2007-03-15 |
1043312176 | Jeremy R Anderson | Pharmacist | 3041 Stonehedge Dr Ne, Mayo Clinic Family Clinic Northeast, Rochester, MN 55906-5426 | 2006-09-01 |
1649259680 | Jeremy Paul Anderson | Pharmacist | 221 4th Ave Sw, Rochester, MN 55905-0014 | 2006-01-10 |
1063405256 | Jeremy Wade Anderson | Optometrist | 1642 Mcarthur St, Manchester, TN 37355-2522 | 2005-08-24 |
1144714296 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-06-20 |
1982196606 | Jeremy Anderson | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2018-05-30 |
1427442342 | Jeremy Anderson | Physical Therapist | 1010 W Washington Center Rd, Fort Wayne, IN 46825-4155 | 2015-03-28 |
Street Address |
227 E BLACKSTOCK RD SUITE 200 |
City | SPARTANBURG |
State | SC |
Zip Code | 29301-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003220138 | Justine J O'dell | Optometrist | 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2631 | 2014-06-17 |
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.