Indigo Vision Center PA

Indigo Vision Center PA is a healthcare organization registered as Optometrist in Georgetown, SC, holding Type 2 (organization) NPI 1700071149 since 2007. The authorized official on file is Owen Johnson, Owner.

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NPI	1700071149
Entity type	Organization (Type 2)
Legal business name	Indigo Vision Center PA
Practice address	302 CHURCH ST, Georgetown, SC, 29440
Phone	8435462244
Fax	8435462255
Enumeration date	2007-09-10
Last updated in NPPES	2013-07-09

Authorized official

Name	Owen Johnson
Title	Owner
Phone	8435462244

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	1279	SC

Other identifiers

Identifier	Type	State	Issuer
D12791	Medicaid	SC	—
P00151729	Other	SC	RAILROAD MEDICARE

Copy-ready billing details

Provider: Indigo Vision Center PA
NPI: 1700071149
Taxonomy: 152W00000X (Optometrist)
Address: 302 CHURCH ST, Georgetown, SC, 29440

Providers at this address

NPI	Name	Type	Specialty	Location
1346292059	Owen Johnson	Individual	Optometrist	Georgetown, SC
1104497981	Michelle Nagro	Individual	Optometrist	Georgetown, SC
1487452462	Aubrey Gall	Individual	Optometrist	Georgetown, SC

Verify this record

Cross-check NPI 1700071149 against the authoritative CMS record: view Indigo Vision Center PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-09. Verify at npiregistry.cms.hhs.gov.

Where is Indigo Vision Center PA located?

The practice location on file with NPPES is in Georgetown, SC.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-09.