Jervey Eye Group, Pa

LBN: Jervey Eye Group, Pa
Jervey Eye Group, Pa is an health care organization with primary practice located at 601 Halton Rd , Greenville SC 29607-3403. 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) 458-7956, or through Shelley, Brian W via phone (864) 458-7956.

Contact Information

Primary practice address
601 Halton Rd Greenville SC 29607-3403
Phone: (864) 458-7956
Fax: (864) 458-8390
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 646 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 17064 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24224 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11002 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14023 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28578 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1992775696
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 25th, 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 1992775696 NPPES
South Carolina MEDICAID DA9934
South Carolina Other CN1548
South Carolina MEDICAID GP0901
South Carolina Other DM0381

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