Organization Active NPI

Dr John Janvier & Associates PC

Doing business as Coastal Eye Associates

  • Optometrist
  • Bluffton, SC
National Provider Identifier
1750308102
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC551 Issued in SC
Legal business name
DR JOHN JANVIER & ASSOCIATES PC
Doing business as
Coastal Eye Associates
Practice address
3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635
Phone
(843) 837-4545
Fax
(843) 837-4474
NPI assigned
Jul 15, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. John J Janvier, ODNPI 1346429503
Title
President
Phone
(843) 837-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X SC551 SC Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X NC0941 NC

Addresses

Primary practice location

3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635

Mailing address

3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635
Phone (843) 837-4545

Other identifiers 1

IdentifierTypeStateIssuer
D05518MedicaidSC

Other names 1

  • Coastal Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1120 W Butler Rd
Ste M
Greenville, SC 29607
Phone (843) 384-8595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1750308102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-4545",
            "fax_number": "843-837-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-4545",
            "fax_number": "843-837-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN JANVIER & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JANVIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-837-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC551",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC0941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D05518",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.