Outer Vision Corp 2

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SC0551 Issued in SC

Legal business name

OUTER VISION CORP 2

Practice address

1890 Sam Rittenberg Blvd
Charleston, SC 29407-4801

Phone

(843) 763-2020

Fax

(843) 763-2021

NPI assigned

Oct 25, 2008

Organization subpart

No

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

Authorized official

Name

Donnie Anderson

Title

Manager/Optician

Phone

(843) 763-2020

Specialties & licenses 2

Addresses

Tax ID family

Outer Vision Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Outer Vision Corp

  • Optician
  • North Charleston, SC
  • NPI 1972756682
  NPD tax ID

Locations

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1699928309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074801",
            "telephone_number": "843-763-2020",
            "fax_number": "843-763-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074801",
            "telephone_number": "843-763-2020",
            "fax_number": "843-763-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER VISION CORP 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "MANAGER/OPTICIAN",
        "authorized_official_telephone_number": "843-763-2020"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "SC0551",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "6952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Ouellette, DO
• Ovatient, Inc
• Bruce Izeokhai Ovbiagele, M.D., MSC
• Over the Rainbow Speech-Language Pathology and Related Services, LLC
• Kristen Lee Overcash, PA
• Michael D Overcash, PA

• Optician in Charleston, SC
• Providers in Charleston, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.