Active NPI
Tonya Renea Davis, OPTICIAN
- Optician
- Columbia, SC
National Provider Identifier
1649902925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- Walmart Vision Center
7520 Garners Ferry Rd
Columbia, SC 29209 - Phone
- (803) 783-8348
- Fax
- (803) 783-0715
- NPI assigned
- Jun 27, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | |||
| Contact Lens Technician/Technologist | 156FC0800X | 462 | ||
| Optician | 156FX1800X | 734 | SC | |
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
Walmart Vision Center
7520 Garners Ferry Rd
Columbia, SC 29209
Mailing address
143 Vallejo Cir
Columbia, SC 29206-1437
Phone (803) 608-4918
Other names 1
- Tonya Renea Nance
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 734 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1649902925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 VALLEJO CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292061437",
"telephone_number": "803-608-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALMART VISION CENTER",
"address_2": "7520 GARNERS FERRY RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-783-8348",
"fax_number": "803-783-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TONYA",
"middle_name": "RENEA",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": null,
"license": "462",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "734",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONYA",
"last_name": "NANCE",
"middle_name": "RENEA",
"credential": "OPTICIAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.