Jervey Eye Group, Pa
LBN: Jervey Eye Group, Pa
Jervey Eye Group, Pa is an health care organization with primary practice located at 220 S Pendleton St , Easley SC 29640-3048. 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) 859-3233, or through Shelley, Brian W via phone (864) 458-7956.
Contact Information
Primary practice address
220 S Pendleton St
Easley SC 29640-3048
Phone: (864) 859-3233
Fax: (864) 850-4001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 910 | South Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1362 | South Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1700856077 |
|---|---|
| LBN Legal business name | Jervey Eye Group, Pa |
| DBA Doing business as | |
| Authorized official | Shelley, Brian W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Sep 14th, 2023 - about last year |
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 | 1700856077 | NPPES |
| South Carolina | MEDICAID | GP0898 | |
| South Carolina | MEDICAID | DA9934 | |
| South Carolina | Other | DM0384 | |
| South Carolina | Other | CN1549 |
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