Individual provider Active NPI

John Janvier, O.D.

  • Optometrist
  • Bluffton, SC
National Provider Identifier
1346429503
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC551 Issued in SC
Practice address
3 Malphrus Rd
Ste 101
Bluffton, SC 29910-6635
Phone
(843) 837-4545
Fax
(843) 837-4474
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC0941 NC
Optometrist 152W00000X SC551 SC Primary

Addresses

Primary practice location

3 Malphrus Rd
Ste 101
Bluffton, SC 29910-6635

Mailing address

3 Malphrus Rd
Ste 101
Bluffton, SC 29910-6635
Phone (843) 837-4545

Other identifiers 1

IdentifierTypeStateIssuer
D05518MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000032 SC Practitioner - Optometry 3870498959 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC0941NCMDOptometrist
SC551SCMDOptometrist
551SCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Northside Vision, LLC Optometrist CurrentSince Jan 15, 2019 Accepting new patients
360Care LLC Optometrist CurrentSince Feb 3, 2020 Accepting new patients
360Care LLC CurrentSince Feb 3, 2020 Accepting new patients
Mobile Vision of South Carolina, LLC Optometrist CurrentSince Aug 26, 2018 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

2603 Boiling Springs Rd
#B
Boiling Springs, SC 29316
Phone (864) 578-3926

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

812 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-1825

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

717 Trolley Rd
Summerville, SC 29485

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1346429503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD",
            "address_2": "STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-4545",
            "fax_number": "843-837-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD",
            "address_2": "STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-4545",
            "fax_number": "843-837-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANVIER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC0941",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D05518",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.