Organization Active NPI

Advanced Family Eye Care, LLC

  • Optometrist
  • Blythewood, SC
National Provider Identifier
1053715433
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED FAMILY EYE CARE, LLC
Practice address
749 University Village Dr
Ste 2
Blythewood, SC 29016-7613
Phone
(614) 425-0758
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dr. Travis R Zigler, O.D.
Title
Optometrist/Owner
Phone
(614) 425-0758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SC Primary

Addresses

Primary practice location

749 University Village Dr
Ste 2
Blythewood, SC 29016-7613

Mailing address

3940 Rennes Dr
Columbus, OH 43221-5690
Phone (614) 425-0758

National Provider Directory

National Provider Directory

Locations

749 University Village Dr
#2
Blythewood, SC 29016
Phone (614) 425-0758

749 University Village Dr
Ste 2
Blythewood, SC 29016
Phone (614) 425-0758

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1053715433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 RENNES DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432215690",
            "telephone_number": "614-425-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 UNIVERSITY VILLAGE DR",
            "address_2": "STE 2",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167613",
            "telephone_number": "614-425-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "ZIGLER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "614-425-0758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.