ALVA S PACK (NPI# 1407811573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407811573 |
| Entity Type | Individual |
| Full Name | ALVA S PACK |
| Credential | O.D. P.A. |
| Practice Address |
399 E Henry St Spartanburg SC 29302-2639 |
| Practice Telephone | 8645850208 |
| Practice Fax Number | 8645946783 |
| Mailing Telephone | 8645850208 |
| Mailing Fax Number | 8645946783 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 489 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D04895 | 05 |
| Street Address |
399 E HENRY ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780608463 | Alva S Pack IIi Pa | Optometrist | 399 E Henry St, Spartanburg, SC 29302-2639 | 2006-07-27 |
| 1922063940 | Louis Ligon Martin Iv | Optometrist | 399 E Henry St, Spartanburg, SC 29302-2639 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821525023 | Lindsay Marie Wood | Optometrist | 1200 E Main St Ste 2, Spartanburg, SC 29307-1738 | 2017-05-18 |
| 1730562596 | Rachel Lynn Tanner | Optometrist | 104 Bain Dr, Spartanburg, SC 29307-3015 | 2015-06-29 |
| 1770837007 | Thomas J. Haviland, Od, PC | Optometrist | 2151 E. Main St., Spartanburg, SC 29307-1441 | 2012-11-08 |
| 1992894000 | Brent Ramby | Optometrist | 120 Dorman Commerce Dr, G, Spartanburg, SC 29301-2649 | 2006-10-12 |
| 1518074392 | Lara J Martin | Optometrist | 735 East Main St, Spartanburg, SC 29302-1281 | 2006-08-25 |
| 1699889998 | Jeremy Ross Burns | Optometrist | 2428 Reidville Rd, Spartanburg, SC 29301-3652 | 2006-08-17 |
| 1255357356 | Carolina Vision Associates, LLC | Optometrist | 180 N. Dean Street, Spartanburg, SC 29302-1517 | 2006-07-14 |
| 1306889548 | Jarrod Ralph Keller | Optometrist | 1066 Boiling Springs Rd, Spartanburg, SC 29303-2247 | 2006-06-14 |
| 1225092737 | Kerri Hopkins | Optometrist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2006-04-12 |
| 1942262621 | Jeremy Patrick Anderson | Optometrist | 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2632 | 2006-04-06 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.