Active NPI
George'S Clearvision
- Optician
- Walterboro, SC
National Provider Identifier
1710130471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- GEORGE'S CLEARVISION
- Practice address
- 1009 Bells Hwy
Walterboro, SC 29488 - Phone
- (843) 549-2565
- Fax
- (843) 549-1892
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer B George, LDO
- Title
- Optician
- Phone
- (843) 549-2565
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1009 Bells Hwy
Walterboro, SC 29488
Mailing address
1009 Bells Hwy
Walterboro, SC 29488
Phone (843) 549-2565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV1837 | Medicaid | SC |
Other names 1
- Clear Vision
National Provider Directory
National Provider DirectoryLocations
1009 Bells Hwy
Walterboro, SC 29488
Phone (843) 212-2588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284595200000",
"number": "1710130471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 BELLS HWY",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "29488",
"telephone_number": "843-549-2565",
"fax_number": "843-549-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 BELLS HWY",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "29488",
"telephone_number": "843-549-2565",
"fax_number": "843-549-1892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE'S CLEARVISION",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2010-09-16",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "843-549-2565",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DV1837",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clear Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.