Senior Vision Care, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2112 Issued in NC

Legal business name

SENIOR VISION CARE, OD, PLLC

Practice address

12612 Diamond Dr
Pineville, NC 28134-8114

Phone

(980) 229-0707

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mark Gifford, O.D.

Title

Owner

Phone

(980) 229-0707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1083073324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 DIAMOND DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348114",
            "telephone_number": "980-229-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 DIAMOND DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348114",
            "telephone_number": "980-229-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR VISION CARE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-229-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Pineville, NC
• Providers in Pineville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.