Active NPI
Vaught Eye Associates, PA
- Optometrist
- Conway, SC
National Provider Identifier
1720187172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 754
- Legal business name
- VAUGHT EYE ASSOCIATES, PA
- Practice address
- 1406 Main St
Conway, SC 29526-3567 - Phone
- (843) 488-2020
- Fax
- (843) 488-9659
- NPI assigned
- Sep 22, 2006
- Organization subpart
- Yes
- Parent organization
- VAUGHT EYE ASSOCIATES, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James M Vaught, O.D.
- Title
- Owner
- Phone
- (843) 488-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 754 | SC | Primary |
| Ophthalmology Physician | 207W00000X | |||
| Eyewear Supplier | 332H00000X | 754 | SC |
Addresses
Primary practice location
1406 Main St
Conway, SC 29526-3567
Mailing address
1406 Main Street
Conway, SC 29526-3567
Phone (843) 488-2020
Other practice location 1
1404 Main St
Conway, SC 29526-3567
Phone (843) 488-7730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC4081 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Edward L Weiner OD
Locations
1405 Main St
Conway, SC 29526
Phone (843) 488-2020
1405 Main St
Ste B
Conway, SC 29526
Phone (843) 488-7730
1406 Main St
Conway, SC 29526
Phone (843) 488-2020
1406 Main St
Ste 1
Conway, SC 29526
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Conway, SC
- NPI 1124041371
-
- Ophthalmology Physician
- Georgetown, SC
- NPI 1487093738
-
- Optometrist
- Conway, SC
- NPI 1316222169
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1124346648
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1740418359
-
- Ophthalmology Physician
- Conway, SC
- NPI 1295170678
-
- Optometrist
- Conway, SC
- NPI 1235608951
-
- Optometrist
- Conway, SC
- NPI 1619224722
-
- Optometrist
- Conway, SC
- NPI 1205949161
-
- Optometrist
- Conway, SC
- NPI 1306059704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1720187172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 MAIN STREET",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263567",
"telephone_number": "843-488-2020",
"fax_number": "843-488-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 MAIN ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263567",
"telephone_number": "843-488-2020",
"fax_number": "843-488-9659"
}
],
"practiceLocations": [
{
"address_1": "1404 Main St",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295263567",
"country_code": "US",
"telephone_number": "843-488-7730",
"fax_number": "843-488-5188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VAUGHT EYE ASSOCIATES, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VAUGHT EYE ASSOCIATES, PA",
"enumeration_date": "2006-09-22",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "VAUGHT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-488-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SC",
"license": "754",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "SC",
"license": "754",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC4081",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.