NPIMap

Organization Active NPI

Vision Therapy Center of Charlotte, LLC

  • Pediatric Optometrist
  • Fort Mill, SC
National Provider Identifier
1205974334
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
1323 Issued in SC
Legal business name
VISION THERAPY CENTER OF CHARLOTTE, LLC
Practice address
3686 Center Circle
Fort Mill, SC 29715-9733
Phone
(803) 802-7171
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Steven L Haleo, O.D.
Title
Optometrist
Phone
(803) 802-7171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WP0200X 1323 SC Primary
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X 1323 SC

Addresses

Primary practice location

3686 Center Circle
Fort Mill, SC 29715-9733

Mailing address

458 Cranborne Chase
Fort Mill, SC 29708-7922

National Provider Directory

National Provider Directory

Locations

3686 Centre Cir
Fort Mill, SC 29715
Phone (803) 802-7171

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205974334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 CRANBORNE CHASE",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 CENTER CIRCLE",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159733",
            "telephone_number": "803-802-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION THERAPY CENTER OF CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HALEO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "803-802-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "SC",
            "license": "1323",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "SC",
            "license": "1323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.