Active NPI
Carolina Clear Vision LLC
- Optometrist
- Columbia, SC
National Provider Identifier
1376497610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CAROLINA CLEAR VISION LLC
- Practice address
- 4712 Liberty Division Rd
4712 Liberty Division Rd
Columbia, SC 29207 - Phone
- (839) 292-6879
- Fax
- (803) 661-6316
- NPI assigned
- Feb 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kashia Raquel Doyle
- Title
- Manager
- Phone
- (839) 292-6879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4712 Liberty Division Rd
4712 Liberty Division Rd
Columbia, SC 29207
Mailing address
4712 Liberty Division Rd
4712 Liberty Division Rd
Columbia, SC 29207
Phone (839) 292-6879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4712 Liberty Division Ave
Columbia, SC 29207
Phone (803) 334-0530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Columbia, SC
- NPI 1770081465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1376497610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 LIBERTY DIVISION RD",
"address_2": "4712 LIBERTY DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29207",
"telephone_number": "839-292-6879",
"fax_number": "803-661-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 LIBERTY DIVISION RD",
"address_2": "4712 LIBERTY DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29207",
"telephone_number": "839-292-6879",
"fax_number": "803-661-6316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA CLEAR VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "KASHIA",
"authorized_official_middle_name": "RAQUEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "839-292-6879",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.