Jervey Eye Group, Pa
LBN: Jervey Eye Group, Pa
Jervey Eye Group, Pa is an health care organization with primary practice located at 1 Colony Centre Way , Simpsonville SC 29681-3286. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Jervey Eye Group, Pa can be contacted via phone (864) 458-3900, or through Shelley, Brian Wells via phone (864) 458-3900.
Contact Information
Primary practice address
1 Colony Centre Way
Simpsonville SC 29681-3286
Phone: (864) 458-3900
Fax: (864) 967-9118
Website:
Authorized official contact:
Name: Shelley, Brian Wells Doctor of Medicine (MD)
Phone: (864) 458-3900
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1447220710 |
|---|---|
| LBN Legal business name | Jervey Eye Group, Pa |
| DBA Doing business as | |
| Authorized official | Shelley, Brian Wells Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Sep 14th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447220710 | NPPES |
| South Carolina | Other | CN1548 | MEDICARE RAILROAD |
| South Carolina | Other | DE1061 | MEDICARE RAILROAD |
| South Carolina | MEDICAID | GP1669 | MEDICARE RAILROAD |
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