Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYVON JEFFERSON
ActiveOptician, Dispensing · COLUMBIA, SC
Registration Details
- NPI Number
- 1881350155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2021 (4.446098484541 yrs)
- Last Updated
- Nov 11, 2021
- License
-
1239 (SC)
Practice Information
- Address
-
237 BROOK PINES DR APT 11111COLUMBIA, SC, 292100511Browse SC providers · Browse ZIP 29210
- Phone
- 8436170997
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MR. GORDON QUATLEBAUM SCOTT JR. | OPTICIAN | 1447387048 |
| MARK ANDERSON PLESSINGER | — | 1245537653 |
| GRECHIA STANLEY DEVITO | OPTICIAN | 1629590864 |
| MICHELE DAVIDSON NEWMAN | OPTICIAN | 1578120523 |
| DAN S. WATTS | — | 1922658145 |
| MR. WADE EDWARD LIGON | LICENSED OPTICIAN | 1649902008 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.