OUTER VISION CORP 2 (NPI# 1699928309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699928309 |
| Entity Type | Organization |
| Organization Name | OUTER VISION CORP 2 |
| Practice Address |
1890 Sam Rittenberg Blvd Charleston SC 29407-4801 |
| Practice Telephone | 8437632020 |
| Practice Fax Number | 8437632021 |
| Mailing Telephone | 8437632020 |
| Mailing Fax Number | 8437632021 |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | DONNIE ANDERSON (MANAGER/OPTICIAN) |
| Authorized Official Telephone | 8437632020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | 6952 | SC | Managed Care Organizations |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
SC0551 | SC | Eye and Vision Services Providers |
| Street Address |
1890 SAM RITTENBERG BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932244241 | Albert Reyes | Chiropractor | 1890 Sam Rittenberg Blvd, Suite 223, Charleston, SC 29407-4801 | 2007-02-21 |
| 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 OUTER VISION CORP 2.
| 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.