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

Tyvon Jefferson

Individual provider Optician · NPI 1881350155

Tyvon Jefferson is an Optician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021
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Practice location Address checks out

237 Brook Pines Dr Apt 11111
Columbia, SC 29210-0511
Phone: (843) 617-0997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1239 (SC)

Record details

NPI number1881350155
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2021
Last updated in NPPESNovember 11, 2021
Certification dateNovember 10, 2021
Mailing address237 Brook Pines Dr Apt 11111, Columbia, SC 29210-0511

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