Lifetime Vision Care, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1977 Issued in SC

Legal business name

LIFETIME VISION CARE, PC

Practice address

232 Nickle Plate Rd
Hardeeville, SC 29927-4416

Phone

(571) 436-0338

NPI assigned

Nov 5, 2017

Last updated

Nov 8, 2017By 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. Kathleen A Clary, OD

Title

Doctor/President

Phone

(571) 436-0338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1407368020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 PALMDALE LN",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299096527",
            "telephone_number": "571-436-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 NICKLE PLATE RD",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274416",
            "telephone_number": "571-436-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "CLARY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "571-436-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.