JACKSON ARD VISION CENTER (NPI# 1487707881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487707881 |
| Entity Type | Organization |
| Organization Name | JACKSON ARD VISION CENTER |
| Practice Address |
975 Savannah Hwy Charleston SC 29407-7859 |
| Mailing Address |
Po Box 31919 Charleston SC 29417-1919 |
| Practice Telephone | 8431667753 |
| Mailing Telephone | 8437667753 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | MR. MARVIN E. ARD (PRESIDENT) |
| Authorized Official Telephone | 8437667753 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
6 | SC | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
159 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9860 | 05 |
| Street Address |
975 SAVANNAH HWY |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-7859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285604447 | Henry Walter Latter Jr. | Chiropractor | 975 Savannah Hwy, Suite J, Charleston, SC 29407-7859 | 2006-01-23 |
| 1831609189 | Bruce Franklin Lester Jr. | Pharmacist | 975 Savannah Hwy, Charleston, SC 29407-7859 | 2017-10-01 |
| 1508318932 | Charleston Orthodontic Specialists, Inc | Dentist | 975 Savannah Hwy, 107b, Charleston, SC 29407-7859 | 2016-11-02 |
| 1699170910 | Michael Guthrie | Pharmacist | 975 Savannah Hwy, Charleston, SC 29407-7859 | 2014-10-29 |
| 1144572850 | Harris Teeter LLC | Pharmacy | 975 Savannah Hwy, Suite 135, Charleston, SC 29407-7859 | 2012-10-04 |
| 1831416346 | St. Andrews Urgent Care, PC | Clinic/Center | 975 Savannah Hwy, Suite 105, Charleston, SC 29407-7859 | 2010-04-23 |
| 1174677280 | Thomas L Spitz | Optometrist | 975 Savannah Hwy, Charleston, SC 29407-7859 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356643266 | Eugene George Gebhard | Technician/Technologist | 2015 Sam Rittenburg Blvd, Charleston, SC 29407 | 2010-11-29 |
| 1194910810 | Us Vision Optical Inc. | Technician/Technologist | 2070 Sam Rittenberg Blvd I -526 Hwy, Jcpenney Optical, Charleston, SC 29407 | 2007-09-06 |
| 1659795136 | Michelle Webb | Technician/Technologist | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2014-02-05 |
| 1891009379 | Deanna Lenore O'hare | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5732 | 2010-07-27 |
| 1083939664 | Ashley Optical | Technician/Technologist | 1637 Savannah Hwy, Charleston, SC 29407-6282 | 2010-04-07 |
| 1205091253 | Ronald Alan Harbert | Technician/Technologist | 349 Folly Rd, Suite 1a, Charleston, SC 29412-2508 | 2008-07-18 |
| 1265612378 | Karen S Norman | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5749 | 2007-11-06 |
| 1821219122 | Eyecare Optical LLC | Technician/Technologist | 125 Doughty Street, Suite 330, Charleston, SC 29403-5740 | 2007-05-02 |
| 1588793947 | Carolina Eyes | Technician/Technologist | 2015 Sam Rittenberg Blvd, Charleston, SC 29407-4601 | 2007-03-03 |
| 1326124538 | Wal-mart Stores East, Lp | Technician/Technologist | 1231 Folly Rd, Charleston, SC 29412-4105 | 2006-10-31 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on JACKSON ARD VISION CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.