GRECHIA STANLEY DEVITO


Address: 411 Commerce Dr Ne, Columbia, SC 29223-4583
Phone: 8032549381

GRECHIA STANLEY DEVITO (NPI# 1629590864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629590864
Entity Type Individual
Full Name GRECHIA STANLEY DEVITO
Credential OPTICIAN
Practice Address 411 Commerce Dr Ne
Columbia
SC 29223-4583
Mailing Address 198 Sierras Loop
St Augustine
FL 32086-9046
Practice Telephone 8032549381
Mailing Telephone 8032549381
Enumeration Date 2017-07-10
Last Update Date 2017-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
000682 GA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA LICENSED DISPENSING OPTICIAN 000682 01

Office Location

Street Address 411 COMMERCE DR NE
City COLUMBIA
State SC
Zip Code 29223-4583

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922658145 Dan S. Watts Technician/Technologist 411 Commerce Dr Ne, Columbia, SC 29223-4583 2019-09-19

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104274307 Wal-mart Stores East, Lp Technician/Technologist 733 Fashion Drive, Columbia, SC 29229-0000 2016-05-27
1992947576 America's Best Contacts & Eyeglasses Technician/Technologist 5580 Forest Dr Ste 118, Columbia, SC 29206-5000 2009-03-30
1942461934 America's Best Contacts & Eyeglasses Technician/Technologist 1201 Grindstone Pkwy Ste 113, Columbia, MO 65201-3741 2008-06-23
1912182262 Arama Vision Care Technician/Technologist 1823 Shadowood Dr, Columbia, SC 29212-2035 2008-01-07
1316161797 Wal-mart Stores, Inc Technician/Technologist 1326 Bush River Road, Columbia, SC 29210 2007-04-13
1720109622 Sansbury Eye Center Technician/Technologist 275 Harbison Blvd Ste T, Columbia, SC 29212-2222 2007-04-02
1447387048 Gordon Quatlebaum Scott Jr. Technician/Technologist 1812 Washington St, Columbia, SC 29201-3549 2007-02-28
1720134513 Columbia Eyewear Technician/Technologist 500 Keene Street, Suite 103, Columbia, MO 65201 2007-01-26
1407932734 Wal-mart Stores East, Lp Technician/Technologist 3001 W. Broadway, Columbia, MO 65203 2006-10-30
1417030115 Wal-mart Stores East, Lp Technician/Technologist 1001 Highway 98 E, Columbia, MS 39429-3733 2006-10-24
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Competitor

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City COLUMBIA
Zip Code 29223

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Dataset Information

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.

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