SV Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SV VISION LLC

Doing business as

Pearle Vision

Practice address

310 Azalea Square Blvd Unit C
Summerville, SC 29483-7362

Phone

(843) 594-5211

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Ryan Fullen, OD

Title

Optometrist

Phone

(843) 594-5211

Specialties & licenses 2

Addresses

Other names 1

• Pearle Vision Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rauchut

  • Optician
  • Summerville, SC
  • NPI 1144792243
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1902464696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 AZALEA SQUARE BLVD UNIT C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AZALEA SQUARE BLVD UNIT C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837362",
            "telephone_number": "843-594-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "FULLEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-594-5211",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica V Sumpter
• Ramona Perez Surprenant
• Susan S. Crocker, M.D., LLC
• Abbegayle Ann Sutterfield, OTR L
• Katherine Sutton, DC
• Swain Chiropractic (Swain Family Chiropractic)
• Ronald Swain II, D.C.
• Jennifer Swallow, MS, RD, LD
• Lila Katherine Swasey
• Swasty Orthodontics, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.