Active NPI
Andey Nicole Reynolds
- Optometrist
- Lexington, SC
National Provider Identifier
1720928153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2600
- Practice address
- 5166 Sunset Blvd Ste J
Lexington, SC 29072-6707 - Phone
- (803) 996-2020
- NPI assigned
- Mar 28, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2600 | SC | Primary |
Addresses
Primary practice location
5166 Sunset Blvd Ste J
Lexington, SC 29072-6707
Mailing address
5166 Sunset Blvd Ste J
Lexington, SC 29072-6707
Phone (803) 996-2020
Other practice location 1
6439 Garners Ferry Rd
Columbia, SC 29209-1638
Phone (803) 776-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2600 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Family Eyecare,LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Lexington, SC
- NPI 1811156359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1720928153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5166 SUNSET BLVD STE J",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290726707",
"telephone_number": "803-996-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5166 SUNSET BLVD STE J",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290726707",
"telephone_number": "803-996-2020"
}
],
"practiceLocations": [
{
"address_1": "6439 Garners Ferry Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292091638",
"country_code": "US",
"telephone_number": "803-776-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ANDEY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-28",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.