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CUSTOM EYES VISION CARE INC NPI 1649321647


NPI Information

NPI: 1649321647
Provider Name: CUSTOM EYES VISION CARE INC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 42D2150979

Address:
7400 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 824-2424
Get Directions

CUSTOM EYES VISION CARE INC is an optometrist in North 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. CUSTOM EYES VISION CARE INC NPI is 1649321647. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7400 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406-644
Phone: (843) 824-2424

The provider's authorized official is Linda Reynolds .
The authorized official title is Optometrist and has the following contact phone number (843) 824-2424.

The CLIA number assigned to this NPI record is 42D2150979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist1229SOUTH 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
1DA9663MEDICAIDSOUTH 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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