Active NPI
Jamie John
- Vision Therapy Optometrist
- Rock Hill, SC
National Provider Identifier
1710544564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 2195
- Practice address
- 2368 Cherry Rd
Rock Hill, SC 29732-2165 - Phone
- (803) 366-6111
- NPI assigned
- May 28, 2019
- Last updated
- Oct 3, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 2195 | SC | Primary |
| Vision Therapy Optometrist | 152WV0400X | 27OA00687600 | NJ |
Addresses
Primary practice location
2368 Cherry Rd
Rock Hill, SC 29732-2165
Mailing address
753 Prospect LN
Fort Mill, SC 29708-8164
Phone (724) 322-4733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211118002533 | SC | Practitioner - Optometry | 6608265319 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00687600 | NJ | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenpointe Optical LLC | Current | Accepting new patients | |
| Craig P Murtha | Past | Accepting new patients | |
| Brian Colletto OD, Inc | Vision Therapy | Past | Accepting new patients |
Locations
2368 Cherry Rd
Rock Hill, SC 29732
Phone (803) 366-6111
Organizations & group practices 3
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": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1710544564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 PROSPECT LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088164",
"telephone_number": "724-322-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2368 CHERRY RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322165",
"telephone_number": "803-366-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "SC",
"license": "2195",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NJ",
"license": "27OA00687600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.