Organization Active NPI

Jewell Vision Care

  • Optometrist
  • Lancaster, SC
National Provider Identifier
1952469348
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043 Issued in SC
Legal business name
JEWELL VISION CARE
Practice address
689 Lancaster Byp E
Lancaster, SC 29720-4727
Phone
(803) 283-2020
Fax
(803) 286-0734
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Vickie L Jewell, ODNPI 1861456899
Title
Optometrist
Phone
(803) 283-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1043 SC Primary

Addresses

Primary practice location

689 Lancaster Byp E
Lancaster, SC 29720-4727

Mailing address

689 Lancaster Byp E
Lancaster, SC 29720-4727
Phone (803) 283-2020

Other identifiers 2

IdentifierTypeStateIssuer
6530OtherSCRAILROAD MEDICARE
DA9832MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120921000411 SC Part B Supplier - Clinic/Group Practice 5496874901 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lancaster, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9789 Charlotte Hwy
Ste 900
Fort Mill, SC 29707
Phone (803) 802-7757

689 Lancaster Byp E
Lancaster, SC 29720
Phone (803) 283-2020

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1952469348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 LANCASTER BYP E",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204727",
            "telephone_number": "803-283-2020",
            "fax_number": "803-286-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 LANCASTER BYP E",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204727",
            "telephone_number": "803-283-2020",
            "fax_number": "803-286-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "803-283-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "6530",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9832",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.