Organization Active NPI

20/20 Eyewear Inc.

  • Eyewear Supplier
  • Conway, SC
National Provider Identifier
1053687384
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
713 Issued in SC
Legal business name
20/20 EYEWEAR INC.
Practice address
1315 Highway 501 Business Ste a
Conway, SC 29526-9549
Phone
(843) 248-2020
Fax
(843) 347-2024
NPI assigned
Mar 30, 2012
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
20/20EYEWEAR INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Blair Fowler, L.D.O
Title
Owner
Phone
(843) 248-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 713 SC Primary

Addresses

Primary practice location

1315 Highway 501 Business Ste a
Conway, SC 29526-9549

Mailing address

1315 Highway 501 Business Ste a
Conway, SC 29526-9549
Phone (843) 248-2020

Other names 1

  • 20/20 EYEWEAR OF CONWAY Other name

National Provider Directory

National Provider Directory
Tax ID family
2020 Eyewear Inc2 organizations share this tax ID, including this one
Part of
2020 Eyewear Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1053687384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 HIGHWAY 501 BUSINESS STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269549",
            "telephone_number": "843-248-2020",
            "fax_number": "843-347-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HIGHWAY 501 BUSINESS STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269549",
            "telephone_number": "843-248-2020",
            "fax_number": "843-347-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 EYEWEAR INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "20/20EYEWEAR INC",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-248-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 EYEWEAR OF CONWAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.