JERVEY EYE CENTER,LLC (NPI# 1275503906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275503906 |
| Entity Type | Organization |
| Organization Name | JERVEY EYE CENTER,LLC |
| Practice Address |
5 Stevens St # 200 Greenville SC 29605-4528 |
| Mailing Address |
601 Halton Rd Greenville SC 29607-3403 |
| Practice Telephone | 8642506487 |
| Practice Fax Number | 8642506490 |
| Mailing Telephone | 8642506487 |
| Mailing Fax Number | 8642506490 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | DR. BRIAN W SHELLEY (PRESIDENT/MANAGING PARTNER) |
| Authorized Official Telephone | 8644583850 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ASC016 | 05 | |
| SC | MEDICARE RAILROAD | 490004097 | 01 |
| Street Address |
5 STEVENS ST # 200 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1508041666 | Moye Medical Endoscopy Center LLC | Clinic/Center | 521-c Moye Blvd, Greenville, NC 27834-2849 | 2008-01-08 |
| 1174733927 | Greenville Anesthesia & Pain Management, Pllc | Clinic/Center | 4724 Wellington St, Greenville, TX 75401-4944 | 2007-05-23 |
| 1184727398 | Hurst Ambulatory Surgical Center | Clinic/Center | 3900 Joe Ramsey Blvd E # 10, Greenville, TX 75401-7727 | 2006-09-06 |
| 1427013382 | Greenville Surgery Center Limited Partnership | Clinic/Center | 5 Memorial Medical Ct, Greenville, SC 29605-4449 | 2006-04-20 |
| 1275595746 | Regional Surgical Centre, Inc. | Clinic/Center | 2525 Highway 1 S, Suite C, Greenville, MS 38701-8354 | 2006-04-03 |
| 1316910086 | Greenville Asc LLC | Clinic/Center | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2006-02-10 |
| 1124000260 | Surgicenter Services of Pitt Inc. | Clinic/Center | 102 Bethesda Dr, Greenville, NC 27834-7201 | 2005-11-15 |
| 1578558763 | Hunt Memorial Hospital District | Clinic/Center | 4215 Joe Ramsey Blvd, Po Drawer 1059, Greenville, TX 75403-1059 | 2005-09-14 |
| 1780128553 | Carolinas Endoscopy Center LLC | Clinic/Center | 2210 Hemby Ln, Greenville, NC 27834-3789 | 2016-12-13 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on JERVEY EYE CENTER,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.