JERVEY EYE CENTER, LLC (NPI# 1366625485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366625485 |
| Entity Type | Organization |
| Organization Name | JERVEY EYE CENTER, LLC |
| Practice Address |
5 Stevens St Ste 2005 Greenville SC 29605-4528 |
| Practice Telephone | 8642506484 |
| Practice Fax Number | 8644588390 |
| Mailing Telephone | 8642506484 |
| Mailing Fax Number | 8642506490 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | DR. BRIAN W SHELLEY (PRESIDENT/MANAGING PARTNER) |
| Authorized Official Telephone | 8644587956 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
ASF-038 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE RAILROAD | CI9006 | 01 |
| SC | GP0900 | 05 |
| Street Address |
5 STEVENS ST STE 2005 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544743 | The Cataract Vision Institute LLC | Clinic/Center | 37 Villa Rd, Suite 112, Greenville, SC 29615-3038 | 2016-08-31 |
| 1093184756 | The Lasik Vision Institute LLC | Clinic/Center | 37 Villa Rd, Suite 112, Greenville, SC 29615-3038 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870688 | Carolina Specialty Eye Surgery, LLC | Clinic/Center | 1530 Boiling Springs Rd, Boiling Springs, SC 29316-5121 | 2020-04-17 |
| 1770033839 | The Total Vision Insitute LLC | Clinic/Center | 3911a Highway 17, Murrells Inlet, SC 29576-5014 | 2016-10-12 |
| 1366993784 | The Lasik Vision Institute LLC | Clinic/Center | 1021 Pinnacle Point Dr, Suite 120, Columbia, SC 29223-5740 | 2016-10-20 |
| 1720535115 | The Total Vision Institute LLC | Clinic/Center | 8028 Myrtle Trace Dr, Conway, SC 29526-8945 | 2016-09-02 |
| 1376099291 | The Cataract Vision Institute LLC | Clinic/Center | 1801 Trolley Rd, Suite 202, Summerville, SC 29485-8283 | 2016-08-31 |
| 1073982732 | The Lasik Vision Institute LLC | Clinic/Center | 1801 Old Trolley Rd, Ste 201, Summerville, SC 29485-8283 | 2015-09-23 |
| 1437319027 | Florence Surgery & Laser Center LLC | Clinic/Center | 400 N Cashua Dr, Florence, SC 29501 | 2008-06-17 |
| 1205031234 | The Retina Center of Charleston, Pa | Clinic/Center | 2057 Charlie Hall Blvd, Suite A, Charleston, SC 29414-5834 | 2007-06-19 |
| 1912959560 | Florence Surgery & Laser Center LLC | Clinic/Center | 400 N Cashua Dr, Florence, SC 29501 | 2006-05-16 |
| 1184686792 | Columbia Eye Surgery Ctr | Clinic/Center | 1920 Pickens St, Columbia, SC 29201-2632 | 2006-04-06 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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| 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.