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:
Map and Directions
Authorized official contact:
Name: Shelley, Brian W Doctor of Medicine (MD)
Phone: (864) 458-7956

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
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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