Organization Active NPI

Specs Vision Center of Aiken Inc

  • Optometrist
  • Aiken, SC
National Provider Identifier
1912058900
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1290 Issued in SC
Legal business name
SPECS VISION CENTER OF AIKEN INC
Practice address
792 Silver Bluff Rd
Aiken, SC 29803-6055
Phone
(803) 642-9902
Fax
(803) 642-8611
NPI assigned
Jan 16, 2007
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Rhett Richardson, O.D.NPI 1467414029
Title
Owner
Phone
(803) 642-9902

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 758 SC
Optometrist 152W00000X 1290 SC Primary
Optometrist 152W00000X 831 SC

Addresses

Primary practice location

792 Silver Bluff Rd
Aiken, SC 29803-6055

Mailing address

792 Silver Bluff Rd
Aiken, SC 29803-6055
Phone (803) 642-9902

Other identifiers 3

IdentifierTypeStateIssuer
DP8311MedicaidSC
D07589MedicaidSC
D12902MedicaidSC

National Provider Directory

National Provider Directory

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1912058900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036055",
            "telephone_number": "803-642-9902",
            "fax_number": "803-642-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036055",
            "telephone_number": "803-642-9902",
            "fax_number": "803-642-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECS VISION CENTER OF AIKEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RHETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-642-9902",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "758",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1290",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DP8311",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07589",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12902",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.