Active NPI
Marni Allison Levy-Scanlon, O.D.
- Optometrist
- Rock Hill, SC
National Provider Identifier
1427201474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- SC1973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00513000 | NJ | MD | Optometrist |
| SC1973 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Eye Physicians & Surgeons of N.J., P.a. | Past | Accepting new patients | |
| DRS. Savoy & Siegel LLC | Optometrist | Past | Accepting new patients |
| National Vision Inc | Optometrist | Past | Accepting new patients |
| Valley Vision Care, P.C. | Optometrist | Past | 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.
-
- Ophthalmology Physician
- Union, NJ
- NPI 1912094079
-
- Optometrist
- Jersey City, NJ
- NPI 1235217563
-
- Optometrist
- Aurora, CO
- NPI 1588361554
-
- Optometrist
- Franklin, NJ
- NPI 1932279981
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.