Eye Associates of Lexington, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE ASSOCIATES OF LEXINGTON, INC.

Practice address

314 Columbia Ave
Lexington, SC 29072-2657

Phone

(803) 359-2294

Fax

(803) 359-1440

NPI assigned

Jul 10, 2007

Last updated

Jan 28, 2010By 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

Dr. John Duncan Randall, O.D.NPI 1033199914

Title

Owner

Phone

(803) 359-2294

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John D Randall, OD

  • Optometrist
  • Lexington, SC
  • NPI 1033199914
  Medicare reassignment Care Compare group NPD Authorized official
• Julianne Stuck Kleckley, OD

  • Optometrist
  • Cayce, SC
  • NPI 1881689263
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1346448404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722657",
            "telephone_number": "803-359-2294",
            "fax_number": "803-359-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722657",
            "telephone_number": "803-359-2294",
            "fax_number": "803-359-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF LEXINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-359-2294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9983",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew David Evans Sr., DMD
• Sherri Quattlebaum Evans, M.A., CCC-SLP
• Susan Jane Evans, APRN, BC
• Victor Shaw Evans, MD
• Everside Health Center-Michelin Lexington
• Eye Care of Lexington
• Janice Ezenwa
• Hannah Fabris, PTA
• Sarai Faile
• Dawn Marie Fain, BS

• Optometrist in Lexington, SC
• Providers in Lexington, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.