Organization Active NPI

Vision Care P a

  • Optometrist
  • Marion, SC
National Provider Identifier
1669545273
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE P A
Practice address
2614 E Highway 76
Marion, SC 29571-6336
Phone
(843) 423-7229
Fax
(843) 423-1971
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Mrs. Mark H Vinson, OD
Title
Owner
Phone
(843) 423-7229

Specialties & licenses 1

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

Addresses

Primary practice location

2614 E Highway 76
Marion, SC 29571-6336

Mailing address

PO Box 1469
Marion, SC 29571-1469
Phone (843) 423-7229

Other identifiers 1

IdentifierTypeStateIssuer
DO7892 DA9896MedicaidSC

National Provider Directory

National Provider Directory

Locations

2614 E Highway 76
Marion, SC 29571
Phone (843) 331-2164

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1669545273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1469",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711469",
            "telephone_number": "843-423-7229",
            "fax_number": "843-423-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E HIGHWAY 76",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716336",
            "telephone_number": "843-423-7229",
            "fax_number": "843-423-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-423-7229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO7892  DA9896",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.