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DRAISIN VISION GROUP PA NPI 1174726210


NPI Information

NPI: 1174726210
Provider Name: DRAISIN VISION GROUP PA
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1470 TOBIAS GADSON BLVD
SUITE 115
CHARLESTON, SC
ZIP 29407
Phone: (843) 556-2020
Get Directions

DRAISIN VISION GROUP PA is an optometrist in Charleston, SC. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DRAISIN VISION GROUP PA NPI is 1174726210. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1470 TOBIAS GADSON BLVD
SUITE 115
CHARLESTON, SC
ZIP 29407-707
Phone: (843) 556-2020
Fax: (843) 763-3937

The provider's authorized official is Bridget Kelly Bessinger .
The authorized official title is Admin Assist and has the following contact phone number (843) 556-2020.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 11/12/2015.


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
1152W00000XOptometrist1413SOUTH CAROLINANo
2152WC0802XOptometristCorneal and Contact Management503SOUTH CAROLINANo
3152WC0802XOptometristCorneal and Contact Management1413SOUTH CAROLINANo
4152WL0500XOptometristLow Vision Rehabilitation1413SOUTH CAROLINANo
5152WS0006XOptometristSports Vision503SOUTH CAROLINANo
6152WV0400XOptometristVision Therapy503SOUTH CAROLINANo
7152W00000XOptometrist503SOUTH 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
11730305434OTHERSOUTH CAROLINAJ SMITH'S NPI #
21548226822OTHERSOUTH CAROLINANDRAISIN NPI #
36166610001MEDICARE NSCSOUTH CAROLINA
4T24567MEDICARE UPINSOUTH CAROLINA
5V12150MEDICARE UPINSOUTH CAROLINA
6D05037MEDICAIDSOUTH 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: 11/14/2023

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