# CARDINAL VISION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardinal Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558992578
- **Authorized official:** GAVIN WADE DAVIS (PRINCIPLE)
- **Authorized official phone:** (803) 999-3937

## Contact information

- **Practice address:** 4723A SUNSET BLVD, LEXINGTON, SC 29072-9151
- **Practice address phone:** (803) 999-3937
- **Practice address fax:** (425) 448-6516
- **Mailing address:** 5 RIDGE CLIFF CT, IRMO, SC 29063-7928
- **Mailing address phone:** (803) 999-3937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | NULL | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | — | — |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 04/14/2026