NPIMap

Organization Active NPI

Pvbluffton

  • Eyewear Supplier
  • Bluffton, SC
National Provider Identifier
1962820050
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
15029 Issued in SC
Legal business name
PVBLUFFTON
Practice address
3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635
Phone
(843) 837-9222
NPI assigned
Apr 4, 2014
Last updated
Apr 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Nicholas BollinNPI 1003831371
Title
Owner
Phone
(304) 382-2542

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
Eyewear Supplier 332H00000X 15029 SC Primary

Addresses

Primary practice location

3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635

Mailing address

3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635
Phone (843) 837-9222

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": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1962820050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVBLUFFTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "BOLLIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-382-2542"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "15029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.