20/20 VISION CENTER INC (NPI# 1124048053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124048053 |
Entity Type | Organization |
Organization Name | 20/20 VISION CENTER INC |
Practice Address |
217 St James Ave Ste A5 Goose Creek SC 29445 |
Practice Telephone | 8437975711 |
Practice Fax Number | 8437975712 |
Mailing Telephone | 8437975711 |
Mailing Fax Number | 8437975712 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. VICKI W CHAMBERLAIN (OWNER) |
Authorized Official Telephone | 8437975711 |
Authorized Official Credential | OPTICIAN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
535 | SC | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | DV5352 | 05 | |
SC | VA9963 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508104084 | 20/20 Vision Center Inc | Eyewear Supplier (Equipment, not the service) | 1523 Metro Dr, Schofield, WI 54476-2378 | 2013-01-17 |
Street Address |
217 ST JAMES AVE STE A5 |
City | GOOSE CREEK |
State | SC |
Zip Code | 29445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700275153 | Heather C Chamberlain | Technician/Technologist | 217 St James Ave, Ste A5, Goose Creek, SC 29445-2938 | 2015-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
Find all providers in zip 29445 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245373893 | Kenneth M Stramm | Technician/Technologist | Eyecare Center of Goose Creek, 142 Saint James Ave, Goose Creek, SC 29445-2973 | 2007-02-14 |
1700275153 | Heather C Chamberlain | Technician/Technologist | 217 St James Ave, Ste A5, Goose Creek, SC 29445-2938 | 2015-01-22 |
1437231735 | Wal-mart Stores East, Lp | Technician/Technologist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295332864 | Insight Optical | Technician/Technologist | 451 E Saint John St, Spartanburg, SC 29302-1623 | 2020-10-06 |
1093323289 | Benjamin Cade | Technician/Technologist | 404 Johnson St Ste A, Pickens, SC 29671-2479 | 2020-07-14 |
1891312427 | Cory Threatt | Technician/Technologist | 232 Cherry Rd S Ste 120, Rock Hill, SC 29732-3413 | 2020-06-30 |
1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
1942763750 | Kristi Thompson | Technician/Technologist | 100 Pershing Ave Ste 1, Clemson, SC 29631-2193 | 2019-04-09 |
1144792243 | Jennifer Rauchut | Technician/Technologist | 310 Azalea Square Blvd Unit C, Summerville, SC 29483-7362 | 2018-12-30 |
1215446877 | National Vision, Inc. | Technician/Technologist | 702 Fairview Rd, Simpsonville, SC 29680-8156 | 2017-09-27 |
1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
1104374172 | Sams East, Inc | Technician/Technologist | 14 Bluffton Road, Bluffton, SC 29910-7621 | 2016-09-19 |
Find all providers with the same taxonomy |
City | GOOSE CREEK |
Zip Code | 29445 |
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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.