=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093639361
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AURA VISION AND OPTICAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2026
-----------------------------------------------------
Last Update Date | 08/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1140 E BUTLER RD UNIT G
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29607-6189
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-438-2079
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1137 WOODRUFF RD STE A
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29607-4115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-438-2079
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPTOMETRIST
-----------------------------------------------------
Name | DR. ANKUR PATEL
-----------------------------------------------------
Credential | OD
-----------------------------------------------------
Telephone | 803-292-5666
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------