Custom Eyes Vision Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1229 Issued in SC

Legal business name

CUSTOM EYES VISION CARE INC

Practice address

7400 Rivers Ave
North Charleston, SC 29406-4644

Phone

(843) 824-2424

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Linda Reynolds, O.D.NPI 1174585970

Title

Optometrist

Phone

(843) 824-2424

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Linda Susan Reynolds, O.D.

  • Optometrist
  • North Charleston, SC
  • NPI 1174585970
  Medicare reassignment NPD Authorized official
• Catherine Emily Kister, O.D.

  • Optometrist
  • Mt. Pleasant, SC
  • NPI 1750301933
  Medicare reassignment NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1649321647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 NORVIEW DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073714",
            "telephone_number": "843-824-2424",
            "fax_number": "844-394-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064644",
            "telephone_number": "843-824-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM EYES VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-824-2424",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9663",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Dukes Cummings
• Curana Health of South Carolina PC
• Curo Health Services, LLC
• Tina Curry, LMT
• Cuspids, Incorporated
• CVS Health
• Elizabeth Norene Dacus, MD
• Marjorie Schultz Dales, PHARMD
• David Anthony Dalpiaz
• David Z Dalu, MD

• Optometrist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.