Devine Eyes Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

040649753 Issued in SC

Legal business name

DEVINE EYES INC

Practice address

2421 Devine St
Columbia, SC 29205-2405

Phone

(803) 376-4545

Fax

(803) 254-2324

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Jeffery Matthews, O.D.NPI 1588775423

Title

Director

Phone

(803) 376-4545

Specialties & licenses 1

Addresses

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.

• David Jeffrey Matthews, O.D.

  • Optometrist
  • Columbia, SC
  • NPI 1588775423
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Stephen Pockl, OD

  • Optometrist
  • Columbia, SC
  • NPI 1659364826
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1366481210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052405",
            "telephone_number": "803-376-4545",
            "fax_number": "803-254-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052405",
            "telephone_number": "803-376-4545",
            "fax_number": "803-254-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE EYES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-376-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "040649753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Rose Dettenmayer
• Andrew David Dettwiler, D.O.
• Jason Elliott Deusenberry, LPC
• Maxine Deutschendorf, LPC
• Dana Victoria Deveaux
• Devine Psychiatry LLC
• Kaitlyn Devine
• Grechia Stanley Devito, OPTICIAN
• Charlie W Devlin, MD
• Dagmar M. Devlin, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.