PRISMA HEALTH UNIVERSITY MEDICAL GROUP (NPI# 1396141875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396141875 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Other Organization Name | UNIVERSITY MEDICAL GROUP/GHS EYE INSTITUTE |
| Practice Address |
104 Simpson St Greenville SC 29605-4413 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8645223900 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | MR. SPENCE TAYLOR (PRESIDENT/CEO) |
| Authorized Official Telephone | 8647977808 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| University Medical Group/GHS Eye Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Fleetwood Dr Ste B, Easley, SC 296402019 | 8645223900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1730786096 | Prisma Health University Medical Group | Radiology | 1519 Marion St, Columbia, SC 29201-2910 | 2020-10-08 |
| 1114542081 | Prisma Health University Medical Group | Health Educator | 712 Grove Rd, Greenville, SC 29605-4211 | 2020-06-16 |
| 1295218642 | Prisma Health University Medical Group | Internal Medicine | 106 John St, Easley, SC 29640-1415 | 2018-09-12 |
| 1619411899 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 109 Fleetwood Dr, Suite B, Easley, SC 29640-2019 | 2016-12-07 |
| 1225480486 | Prisma Health University Medical Group | Pediatrics | 208 Frontage Rd, Suite 1, Clemson, SC 29631-1691 | 2016-07-12 |
| 1265884852 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 333 S Pine St, Spartanburg, SC 29302-2622 | 2016-07-07 |
| 1053786483 | Prisma Health University Medical Group | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2015-12-10 |
| 1558754978 | Prisma Health University Medical Group | Orthopaedic Surgery | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4546 | 2015-03-10 |
| 1528465374 | Prisma Health University Medical Group | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2014-11-21 |
| Street Address |
104 SIMPSON ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009032 | Julius Warren Welborn IIi | Ophthalmology | 104 Simpson St, Greenville, SC 29605-4413 | 2005-10-31 |
| 1881098945 | Ghs Partners In Health, Inc. | Durable Medical Equipment & Medical Supplies | 104 Simpson St, Greenville, SC 29605-4413 | 2014-10-20 |
| 1871719955 | David P Gosnell | Technician/Technologist | 104 Simpson St, Greenville, SC 29605-4413 | 2007-04-18 |
| 1518054691 | Kip Winthrop Dolphin | Ophthalmology | 104 Simpson St, Greenville, SC 29605-4413 | 2006-10-09 |
| 1023062288 | Alan Brett Leahey | Ophthalmology | 104 Simpson St, Greenville, SC 29605-4413 | 2006-05-20 |
| 1497718191 | C Jane Eddins | Optometrist | 104 Simpson St, Greenville, SC 29605-4413 | 2006-04-11 |
| 1740250653 | William E.h. Caldwell Iv | Ophthalmology | 104 Simpson St, Greenville, SC 29605-4413 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770135618 | Kirsten Weitzel Turrisi | Optometrist | 116 Regency Blvd, Greenville, NC 27834-4644 | 2019-07-11 |
| 1437616638 | Precision Eye Care, Johansens and Brown, LLC | Optometrist | 6243 White Horse Rd Ste 11-b, Greenville, SC 29611-3800 | 2019-02-23 |
| 1417427683 | South Carolina Physicians Eyecare Group, P.C. | Optometrist | 1139 Woodruff Rd Ste A, Greenville, SC 29607-4119 | 2018-11-30 |
| 1851874168 | Oneway Vision Associates Pa | Optometrist | 27 S Pleasantburg Dr Ste 120, Greenville, SC 29607-2575 | 2018-09-12 |
| 1497268189 | Pamela S. Sheffield, O.d. | Optometrist | 600 Putnam Pike Ste 3, Greenville, RI 02828-1487 | 2017-11-16 |
| 1710335120 | Danielle Woodbridge | Optometrist | 307 S Franklin St, Greenville, MI 48838-1759 | 2016-05-25 |
| 1518314418 | Metras and Associates LLC | Optometrist | 203 Pine Spring Ct, Greenville, SC 29609-1564 | 2016-05-20 |
| 1649655093 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1617 Wade Hampton Blvd, Greenville, SC 29609-5049 | 2015-07-28 |
| 1235537762 | Daniel & Max, LLC | Optometrist | 1139 Woodruff Rd, Suite A, Greenville, SC 29607-4119 | 2014-12-16 |
| 1639415391 | Steve Metras | Optometrist | 2541 N Pleasantburg Dr, Suite R, Greenville, SC 29609-2728 | 2012-12-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on PRISMA HEALTH UNIVERSITY MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.