Jax & Rae Optometric

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAX & RAE OPTOMETRIC

Doing business as

Gary Eye Associates

Practice address

970 Liberty St E
York, SC 29745-1662

Phone

(803) 818-4447

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bettina Gary, OD

Title

Sole Member/Owner

Phone

(803) 818-4447

Specialties & licenses 1

Addresses

Other names 1

• Gary Eye Associates Doing business as

Locations

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1831724756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LIBERTY ST E",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LIBERTY ST E",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451662",
            "telephone_number": "803-818-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX & RAE OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "803-818-4447",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isupport Therapy LLC
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• Johanna B. Jackson, S.S.P.
• James-Olivereyecare,LLC
• Aleque Stegall James, O.D.
• JBM LLC (Yorkville Pharmacy)
• Amy Ruth Jeffcoat, RDN, LD
• Alfred Casburn Johnson Jr., DDS
• Kimberly Johnson
• Jasmin Corvette Jones, MA

• Optometrist in York, SC
• Providers in York, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.