OrganizationActive
Innovative Vision Therapy Center
NPI 1265943450 · Vision Therapy Optometrist · Anderson, SC
Provider details
- NPI number
- 1265943450
- Entity type
- Organization
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tabitha Johnson, Owner(864) 540-8404
Specialties & taxonomies
Eye and Vision Services Providers
- Optometrist152W00000X
Eye and Vision Services Providers
Practice location
3215 Martin Luther King Jr Blvd Ste O
Anderson, SC 29625-1715
Phone: (864) 540-8404
Approximate (ZIP-level) locationGet directions
Mailing address
3215 Martin Luther King Jr Blvd Ste O
Anderson, SC 29625-1715
Registry dates
- Enumerated
- 2017-10-16
- Last updated
- 2017-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.