INNOVATIVE VISION CENTER LLC NPI 1538104336

NPI Information

  • NPI: 1538104336
  • Provider Name: INNOVATIVE VISION CENTER LLC
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • Address: 7611 HIGHWAY 76
    STE. B
    PENDLETON, SC
    ZIP 29670
  • Phone: (864) 646-3535

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NPI Details

INNOVATIVE VISION CENTER LLC is a vision therapy optometrist in Pendleton, SC. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. INNOVATIVE VISION CENTER LLC NPI is 1538104336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7611 HIGHWAY 76
STE. B
PENDLETON, SC
ZIP 29670-162
Phone: (864) 646-3535
Fax: (864) 646-3538

The provider's authorized official is Frank William Forgnoni .
The authorized official title is Owner/sole Member and has the following contact phone number (864) 646-3535.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy1393SOUTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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