NPIMap

Organization Active NPI

Flowertown Family Vision Care, LLC

  • Optometrist
  • Summerville, SC
National Provider Identifier
1912038704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1011 Issued in SC
Legal business name
FLOWERTOWN FAMILY VISION CARE, LLC
Practice address
105 S. Cedar St.
Suite F
Summerville, SC 29483-6078
Phone
(843) 832-4520
Fax
(843) 871-2269
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joel James Schultz, O.D.NPI 1497820716
Title
Owner Optometrist
Phone
(843) 832-4520

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1011 SC Primary

Addresses

Primary practice location

105 S. Cedar St.
Suite F
Summerville, SC 29483-6078

Mailing address

105 S Cedar St
Suite F
Summerville, SC 29483-6078
Phone (843) 832-4520

Other identifiers 1

IdentifierTypeStateIssuer
D10110MedicaidSC

National Provider Directory

National Provider Directory

Locations

105 S Cedar St
Ste F
Summerville, SC 29483
Phone (843) 823-4520

Practitioners & affiliated clinicians

Practitioners 1

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912038704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S CEDAR ST",
            "address_2": "SUITE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836078",
            "telephone_number": "843-832-4520",
            "fax_number": "843-871-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S. CEDAR ST.",
            "address_2": "SUITE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836078",
            "telephone_number": "843-832-4520",
            "fax_number": "843-871-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWERTOWN FAMILY VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "843-832-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10110",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.