Active NPI
Jennifer Rauchut
- Optician
- Summerville, SC
National Provider Identifier
1144792243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 959
- Practice address
- 310 Azalea Square Blvd Unit C
Summerville, SC 29483-7362 - Phone
- (843) 513-9448
- NPI assigned
- Dec 30, 2018
- Last updated
- Dec 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 959 | SC | Primary |
Addresses
Primary practice location
310 Azalea Square Blvd Unit C
Summerville, SC 29483-7362
Mailing address
506 Crossland Dr
Moncks Corner, SC 29461-8888
Phone (843) 513-5992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SV Vision LLC | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546128000000",
"number": "1144792243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 CROSSLAND DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618888",
"telephone_number": "843-513-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 AZALEA SQUARE BLVD UNIT C",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837362",
"telephone_number": "843-513-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCHUT",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-30",
"last_updated": "2018-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.