Active NPI
Ivision Associates LLC
- Optometrist
- Indian Land, SC
National Provider Identifier
1093227464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- IVISION ASSOCIATES LLC
- Practice address
- 9700 Red Stone Drive Suite 300
Indian Land, SC 29707 - Phone
- (224) 848-9385
- NPI assigned
- Oct 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bhumika Patel, OD
- Title
- Optometrist
- Phone
- (224) 848-9385
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
9700 Red Stone Drive Suite 300
Indian Land, SC 29707
Mailing address
9700 Redstone Dr Ste 300
Indian Land, SC 29707-5409
Phone (803) 548-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9497 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Ivision Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Fort Mill, SC
- NPI 1730617200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Indian Land, SC
- NPI 1194134668
-
- Optometrist
- Indian Land, SC
- NPI 1689264699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1093227464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 REDSTONE DR STE 300",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297075409",
"telephone_number": "803-548-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 RED STONE DRIVE SUITE 300",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "29707",
"telephone_number": "224-848-9385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVISION ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-25",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "BHUMIKA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "224-848-9385",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9497",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indian Land, SC
- Zealkumari Kisansinh Inamdar
- Indian Land Eye Care Center, LLC
- Indian Land Pharmacy
- Instride Foot and Ankle Specialists, PLLC
- Instride Foot and Ankle Specialists, PLLC
- James Candon, DDS, LLC
- Patrick Francis Jenkins III, MD
- Jessie Hoffman Nutrition, LLC
- Alan Martin Jones, OD
- Matthew Tyler Jones, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.