Organization Active NPI

Jewell Vision Care, Inc.

  • Optometrist
  • Lancaster, SC
National Provider Identifier
1497973978
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043 Issued in SC
Legal business name
JEWELL VISION CARE, INC.
Practice address
689 Lancaster Byp E
Lancaster, SC 29720-4727
Phone
(803) 283-2020
Fax
(803) 286-0734
NPI assigned
Apr 23, 2007
Organization subpart
Yes
Parent organization
JEWELL VISION CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Dr. Vickie L Jewell, ODNPI 1861456899
Title
Owner/President
Phone
(803) 283-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1043 SC Primary

Addresses

Primary practice location

689 Lancaster Byp E
Lancaster, SC 29720-4727

Mailing address

689 Lancaster Byp E
Lancaster, SC 29720-4727
Phone (803) 283-2020

Other identifiers 2

IdentifierTypeStateIssuer
DA9666MedicaidSC
6530OtherSCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120921000411 SC Part B Supplier - Clinic/Group Practice 5496874901 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Lancaster, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Jewell Vision Care Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1497973978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 LANCASTER BYP E",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204727",
            "telephone_number": "803-283-2020",
            "fax_number": "803-802-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 LANCASTER BYP E",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204727",
            "telephone_number": "803-283-2020",
            "fax_number": "803-286-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL VISION CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWELL VISION CARE, INC.",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "803-283-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9666",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "6530",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.