JERVEY EYE GROUP, PA (NPI# 1447220710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447220710 |
| Entity Type | Organization |
| Organization Name | JERVEY EYE GROUP, PA |
| Practice Address |
1 Colony Centre Way Simpsonville SC 29681-3286 |
| Mailing Address |
601 Halton Rd Greenville SC 29607-3403 |
| Practice Telephone | 8649632171 |
| Practice Fax Number | 8642282681 |
| Mailing Telephone | 8644587956 |
| Mailing Fax Number | 8644588390 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | DESTINY T GREEN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8644583854 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE RAILROAD | CN1548 | 01 |
| SC | GP1669 | 05 | |
| SC | MEDICAID DMERC NUMBER | DE1061 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073903613 | Jervey Eye Group, Pa | Anesthesiology | 1 Doctors Dr, Greenville, SC 29605-4266 | 2015-02-04 |
| 1396044236 | Jervey Eye Group, Pa | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2011-03-17 |
| 1538139803 | Jervey Eye Group, Pa | Ophthalmology | 5 Stevens St # 100, Greenville, SC 29605-4528 | 2006-01-26 |
| 1700856077 | Jervey Eye Group, Pa | Optometrist | 220 S Pendleton St, Easley, SC 29640-3048 | 2006-01-26 |
| 1992775696 | Jervey Eye Group, Pa | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-25 |
| Street Address |
1 COLONY CENTRE WAY |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-3286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088770 | Christopher Blake Myers | Ophthalmology | 1 Colony Centre Way, Simpsonville, SC 29681-3286 | 2006-01-25 |
| 1275889503 | William David Coleman | Optometrist | 1 Colony Centre Way, Simpsonville, SC 29681-3286 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679603922 | Adam R Easterling | Ophthalmology | 674 Fairview Rd, Simpsonville, SC 29680-6708 | 2007-03-06 |
| 1023088770 | Christopher Blake Myers | Ophthalmology | 1 Colony Centre Way, Simpsonville, SC 29681-3286 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453525 | Southern Eye Associates of Sc, Pa | Ophthalmology | 1330 Boiling Springs Rd Ste 2400, Spartanburg, SC 29303-4213 | 2019-08-19 |
| 1568915619 | Susannah Liberty Brown | Ophthalmology | 167 Ashley Ave Rm 503, Charleston, SC 29425-3098 | 2016-07-25 |
| 1982008439 | Garry Binegar Sr. | Ophthalmology | 38 Spring Island Dr, Callawassie Island, Okatie, SC 29909-4006 | 2014-10-13 |
| 1003216540 | Robert Osborne Brown Jr. | Ophthalmology | 400 Ridgecrest Dr, Clemson, SC 29631-1896 | 2014-09-03 |
| 1417200148 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 80 Baylor Way, Bluffton, SC 29910-8902 | 2012-10-18 |
| 1306116256 | Atlantic Eye Associates | Ophthalmology | 8028 Myrtle Trace Dr, Conway, SC 29526-8945 | 2012-01-10 |
| 1316246499 | Rock Hill Eye Clinic | Ophthalmology | 1698 W. Hwy 160, Suite 110, Fort Mill, SC 29715-7069 | 2011-03-15 |
| 1508162728 | Charles Pinckney Hunter IIi | Ophthalmology | 1501 North Main St, Anderson, SC 29626 | 2011-02-04 |
| 1982910337 | Joseph Anthony Manno IIi | Ophthalmology | 101 Oak Park Dr, Irmo, SC 29063-6105 | 2010-08-24 |
| 1790097681 | Anand Prem Rajani | Ophthalmology | 1773 Ebenezer Rd, Rock Hill, SC 29732-1101 | 2010-07-08 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
Please comment or provide details below to improve the information on JERVEY EYE GROUP, PA.
| 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.