20/20 Vision Center Inc
Organization Active NPI Optician · Goose Creek, SC
NPI 1124048053 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124048053
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- License
- 535 (SC)
- Legal business name
- 20/20 VISION CENTER INC
- Practice address
- 217 St James Ave
Ste A5
Goose Creek, SC 29445 - Phone
- (843) 797-5711
- Fax
- (843) 797-5712
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Vicki W Chamberlain, OPTICIAN
- Title
- Owner
- Phone
- (843) 797-5711
Practitioners 3
-
Vicki W Chamberlain, OPTICIAN
-
Heather C Chamberlain, OPTICIAN
National Provider Directory
Locations
217 Saint James Ave
#A5
Goose Creek, SC 29445
Phone (843) 797-5711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 535 | SC | Yes |
Addresses
Primary practice location
217 St James Ave
Ste A5
Goose Creek, SC 29445
Mailing address
217 St James Ave
Ste A5
Goose Creek, SC 29445
Phone (843) 797-5711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV5352 | Medicaid | SC | |
| VA9963 | Medicaid | SC |
Other providers in Goose Creek, SC
- 129 Plantation Groose Creek Professional, LLC
- Eanna Aaron
- Ricardo Mensah Abakah
- Abc Care (a Better Choice of Care)
- Abide and Heal Wellness Solutions, LLC
- Beverly Abramczyk
All providers in Goose Creek, SC · Optician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.