Carolina Vision Associates, LLC
Optometrist in Gaffney, SC. Organization (NPI-2).
NPI number1295047686
StatusActive
Last updated in NPPESApr 11, 2013
Details
- NPI
- 1295047686
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Vision Associates, LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 14, 2010
- Last updated
- Apr 11, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHYSICIAN - OPTOMETRIST
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2288 | SC | Yes |
Practice location
1506 N Limestone StGaffney, SC 29340-4747
Phone 864-489-2016 · Fax 864-488-1123
Mailing address
180 N. Dean StreetSpartanburg, SC 29302
Phone 864-583-3125 · Fax 864-542-1367
Authorized official
Kimberly Willard
Practice Administrator
8645833125
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