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

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