Innovative Vision Therapy Center

LBN: Innovative Vision Therapy Center
Innovative Vision Therapy Center is an health care organization with primary practice located at 3215 Martin Luther King Jr Blvd Ste O , Anderson SC 29625-1715. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is the primary health care specialty. Innovative Vision Therapy Center can be contacted via phone (864) 540-8404, or through Johnson, Tabitha via phone (864) 540-8404.

Contact Information

Primary practice address
3215 Martin Luther King Jr Blvd Ste O Anderson SC 29625-1715
Fax:
Website:
Authorized official contact:
Name: Johnson, Tabitha

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Vision Therapy 152WV0400X South Carolina

Profile Details

NPI number 1265943450
LBN Legal business name Innovative Vision Therapy Center
DBA Doing business as
Authorized official Johnson, Tabitha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2017
Last updated Oct 16th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers