Individual provider Active NPI

Leigh Purvis, O.D.

  • Vision Therapy Optometrist
  • Charleston, SC
National Provider Identifier
1710430673
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPT1981 Issued in SC
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
018916600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170215003051 FL Practitioner - Optometry 9739462821 Reassigns benefits to 1 organization
I20190515000357 SC Practitioner - Optometry 9739462821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003244COMDOptometrist
OPT1981SCMDVision Therapy Optometrist
1981SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Charleston Inc Optometrist CurrentSince Jan 29, 2024 Accepting new patients
Nova Southeastern University, Inc Optometrist CurrentSince Dec 20, 2016 Accepting new patients
Nova Southeastern University Inc. CurrentSince Dec 20, 2016 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.

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

Verify at the official NPI Registry.