Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasmine Ty'Andra Brockington

Individual provider Optician · NPI 1649967035

Jasmine Ty'Andra Brockington is an Optician in Florence, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2023
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Practice location Address checks out

2014 S Irby St
Florence, SC 29505-3420
Phone: (843) 292-0401
Fax: (843) 292-0403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1356 (SC)

Record details

NPI number1649967035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

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