Vision Innovators LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION INNOVATORS LLC

Doing business as

Powdersville Eye Care

Practice address

212 Wall St
Piedmont, SC 29673-6754

Phone

(912) 256-3713

Fax

(864) 392-9335

NPI assigned

Jan 24, 2024

Last updated

Sep 4, 2024By 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. Jarrod Griffis, ODNPI 1720516784

Title

Owner

Phone

(912) 256-3713

Specialties & licenses 1

Addresses

Other names 1

• POWDERSVILLE EYE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jarrod Luke Griffis, OD

  • Optometrist
  • Piedmont, SC
  • NPI 1720516784
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1649032830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "912-256-3713",
            "fax_number": "864-392-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INNOVATORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-256-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POWDERSVILLE EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POWDERSVILLE EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.