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JACKSON ARD VISION CENTER NPI 1487707881


NPI Information

NPI: 1487707881
Provider Name: JACKSON ARD VISION CENTER
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
975 SAVANNAH HWY
CHARLESTON, SC
ZIP 29407
Phone: (843) 166-7753
Get Directions

JACKSON ARD VISION CENTER is an optician technician technologist in Charleston, SC. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. JACKSON ARD VISION CENTER NPI is 1487707881. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

975 SAVANNAH HWY
CHARLESTON, SC
ZIP 29407-859
Phone: (843) 166-7753

The provider's authorized official is Marvin E. Ard .
The authorized official title is President and has the following contact phone number (843) 766-7753.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 4/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FC0801XTechnician/TechnologistContact Lens Fitter6SOUTH CAROLINANo
2156FX1800XTechnician/TechnologistOptician159SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10684480001MEDICARE NSCSOUTH CAROLINA
2DA9860MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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