Provider Demographics
NPI:1265623144
Name:PARFITT, VAUGHN DAVID (OD)
Entity type:Individual
Prefix:DR
First Name:VAUGHN
Middle Name:DAVID
Last Name:PARFITT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 E GREENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2062
Mailing Address - Country:US
Mailing Address - Phone:864-224-5783
Mailing Address - Fax:864-226-3228
Practice Address - Street 1:100 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-1717
Practice Address - Country:US
Practice Address - Phone:864-224-5783
Practice Address - Fax:864-226-3228
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC782152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD00782Medicaid