Vizer Wellness Clinic LLC

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

Legal business name

VIZER WELLNESS CLINIC LLC

Doing business as

Vizer OccuMed
Vizer Wellness and Weight Loss

Practice address

7356 Garners Ferry Rd Ste 128
Columbia, SC 29209-2146

Phone

(803) 580-4747

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Dianne Billie Jackson, APRN

Title

Owner

Phone

(803) 580-4747

Specialties & licenses 3

Addresses

Other names 6

• Vizer OccuMed Doing business as
• Vizer Wellness and Weight Loss Doing business as
• Vizer Medical Clinic Other name
• Vizer Mobile Health Other name
• Vizer Psych Health Other name
• Vizer Wellness Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1285491225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291510141",
            "telephone_number": "803-580-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7356 GARNERS FERRY RD STE 128",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092146",
            "telephone_number": "803-580-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7356 Garners Ferry Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092146",
            "country_code": "US",
            "telephone_number": "803-580-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIZER WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIANNE BILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-580-4747",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vizerwellnessclinic.com",
            "affiliation": "N",
            "endpointDescription": "Business Hippa secure encrypted email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7356 Garners Ferry Rd Ste 127",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292092146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vizer OccuMed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vizer Wellness and Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vizer Medical Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vizer Mobile Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vizer Psych Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vizer Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community Health Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Community Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.