Organization Active NPI

Florence Vision Center PA

  • Eyewear Supplier
  • Florence, SC
National Provider Identifier
1669668018
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
SC00657 Issued in SC
Legal business name
FLORENCE VISION CENTER PA
Practice address
1911 2ND Loop Rd
Florence, SC 29501-6122
Phone
(843) 662-3912
Fax
(843) 667-4550
NPI assigned
Sep 19, 2007
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Mrs. Robin Wiley Brown
Title
Office Manager
Phone
(843) 662-3912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X SC00657 SC Primary

Addresses

Primary practice location

1911 2ND Loop Rd
Florence, SC 29501-6122

Mailing address

1911 2ND Loop Rd
Florence, SC 29501-6122
Phone (843) 662-3912

Other identifiers 2

IdentifierTypeStateIssuer
1275558322OtherSCRONALD C BROWN SR NPI
D06571MedicaidSC

National Provider Directory

National Provider Directory

Locations

1911 2nd Loop Rd
Florence, SC 29501
Phone (843) 662-3912

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1669668018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016122",
            "telephone_number": "843-662-3912",
            "fax_number": "843-667-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016122",
            "telephone_number": "843-662-3912",
            "fax_number": "843-667-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE VISION CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "WILEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-662-3912",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "SC00657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RONALD C BROWN SR NPI",
            "identifier": "1275558322",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D06571",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.