1. Home
  2. Directory
  3. South Carolina
  4. Spartanburg
  5. Eyewear Supplier
  6. NPI Profile

WESTSIDE OPTICAL SHOP,LLC
NPI 1962775817
Eyewear Supplier in Spartanburg, SC

Active since February 22, 2012
1413 JOHN B WHITE SR BLVD, SUITE A, SPARTANBURG, SC 29306(864) 587-1039(864) 587-1936 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Westside Optical Shop,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE OPTICAL SHOP,LLC (NPI 1962775817) is a healthcare organization registered as an eyewear supplier in Spartanburg, South Carolina and active in the NPI registry since February 2012. The organization lists Lawrence Edmund Roel, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1962775817
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWESTSIDE OPTICAL SHOP,LLC
Location Address1413 JOHN B WHITE SR BLVD, SUITE ASpartanburg, SC 29306-3995
Mailing Address1413 John B White Sr Blvd, Suite ASpartanburg, SC 29306-3995 · (864) 587-1039 · Fax (864) 587-1936
Phone(864) 587-1039
Fax(864) 587-1936
Organization SubpartNo
Authorized OfficialLawrence Edmund RoelOwner/provider · (864) 542-1308
Enumeration DateFebruary 22, 2012
Last NPPES UpdateMay 31, 2012
✔ NPI 1962775817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in SC · 120021119
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1413 JOHN B WHITE SR BLVD, Spartanburg, SC 29306
Open in Google Maps ↗

Other Identifiers 1

Medicaid1164472098SC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTSIDE EYE CENTER LLC
Clinic/Center (Ambulatory Surgical)
1413 JOHN B WHITE SR BLVD, SUITE D
SPARTANBURG, SC 29306
Spartanburg County (864) 574-7767
TLC THE LASER CENTER (INSTITUTE) INC
Clinic/Center
1413 JOHN B WHITE SR BLVD, STE. D
SPARTANBURG, SC 29306
Spartanburg County (864) 542-1308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Optical Shop,llc's NPI number?

The NPI number for Westside Optical Shop,llc is 1962775817. It was assigned to this organization in the NPPES registry on February 22, 2012.

Where is Westside Optical Shop,llc located?

Westside Optical Shop,llc is located at 1413 John B White Sr Blvd Suite A, Spartanburg, SC 29306. The listed phone number is (864) 587-1039.

What is Westside Optical Shop,llc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Westside Optical Shop,llc was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.