Sims, Heber Grant

Sims, Heber Grant is an sole proprietor health care provider with primary practice located at 353A E Blackstock Rd , Spartanburg SC 29301-3762. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Sims, Heber Grant can be contacted via phone (864) 574-0366.

Contact Information

Primary practice address
353A E Blackstock Rd Spartanburg SC 29301-3762
Fax: (864) 574-0367
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 565 South Carolina
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 565 South Carolina

Profile Details

NPI number 1588661649
LBN Legal business name Sims, Heber Grant
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Aug 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588661649 NPPES
South Carolina Other T244250281 MEDICARE PTAN
South Carolina Other P00607240 MEDICARE PTAN
South Carolina MEDICAID DO5652 MEDICARE PTAN

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