Individual provider Active NPI

Marni Allison Levy-Scanlon, O.D.

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1427201474
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC1973 Issued in SC
Practice address
2377 Dave Lyle Blvd.
Walmart Vision Center
Rock Hill, SC 29730
Phone
(803) 366-9404
Fax
(803) 366-0251
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00513000 NJ
Optometrist 152W00000X SC1973 SC Primary

Addresses

Primary practice location

2377 Dave Lyle Blvd.
Walmart Vision Center
Rock Hill, SC 29730

Mailing address

2377 Dave Lyle Blvd.
Walmart Vision Center
Rock Hill, SC 29730
Phone (803) 366-9404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00513000NJMDOptometrist
SC1973SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Physicians & Surgeons of N.J., P.a. Past Accepting new patients
DRS. Savoy & Siegel LLC Optometrist PastSince Apr 28, 1992 Accepting new patients
National Vision Inc Optometrist PastSince Jun 29, 2025 Accepting new patients
Valley Vision Care, P.C. Optometrist PastSince Oct 18, 2016 Accepting new patients

Organizations & group practices 4

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1427201474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 DAVE LYLE BLVD.",
            "address_2": "WALMART VISION CENTER",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-366-9404",
            "fax_number": "803-366-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 DAVE LYLE BLVD.",
            "address_2": "WALMART VISION CENTER",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-366-9404",
            "fax_number": "803-366-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY-SCANLON",
        "first_name": "MARNI",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00513000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.