Active NPI
Leigh Purvis, O.D.
- Vision Therapy Optometrist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- OPT1981
- Practice address
- 1470 Tobias Gadson Blvd Ste 115
Charleston, SC 29407-4835 - Phone
- (843) 556-2020
- Fax
- (843) 763-3937
- NPI assigned
- Jul 27, 2016
- Last updated
- Mar 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003244 | CO | |
| Optometrist | 152W00000X | OFC77 | FL | |
| Vision Therapy Optometrist | 152WV0400X | OPT1981 | SC | Primary |
Addresses
Primary practice location
1470 Tobias Gadson Blvd Ste 115
Charleston, SC 29407-4835
Mailing address
PO Box 80817
Charleston, SC 29416-0817
Phone (843) 556-2020
Other practice location 1
3200 S University Dr
Davie, FL 33328-2018
Phone (954) 262-4000
Other practice location 2
3200 S University Dr
Davie, FL 33328-2018
Phone (954) 262-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018916600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0003244 | CO | MD | Optometrist |
| OPT1981 | SC | MD | Vision Therapy Optometrist |
| 1981 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Charleston Inc | Optometrist | Current | Accepting new patients |
| Nova Southeastern University, Inc | Optometrist | Current | Accepting new patients |
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Eye Care Associates of SC LLC | Optometrist | Past | Accepting new patients |
Locations
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000
819 NE 26th St
Wilton Manors, FL 33305
Phone (954) 390-7654
975 Savannah Hwy
#10
Charleston, SC 29407
Phone (843) 627-2020
975 Savannah Hwy
Spc 10
Charleston, SC 29407
Phone (843) 627-2020
470 Town Center Pl
Ste 5
Columbia, SC 29229
Phone (803) 865-3901
2150 Northwoods Blvd
Unit E2
North Charleston, SC 29406
Phone (843) 569-3937
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Charleston, SC
- NPI 1609335348
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1700924511
-
- Clinical Medical Laboratory
- Fort Lauderdale, FL
- NPI 1770533390
-
- Optometrist
- Chapin, SC
- NPI 1679046569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1710430673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80817",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294160817",
"telephone_number": "843-556-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 TOBIAS GADSON BLVD STE 115",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074835",
"telephone_number": "843-556-2020",
"fax_number": "843-763-3937"
}
],
"practiceLocations": [
{
"address_1": "3200 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333282018",
"country_code": "US",
"telephone_number": "954-262-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333282018",
"country_code": "US",
"telephone_number": "954-262-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURVIS",
"first_name": "LEIGH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003244",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OFC77",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "SC",
"license": "OPT1981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018916600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.