JERVEY EYE GROUP, PA (NPI# 1700856077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700856077 |
| Entity Type | Organization |
| Organization Name | JERVEY EYE GROUP, PA |
| Practice Address |
220 S Pendleton St Easley SC 29640-3048 |
| Mailing Address |
601 Halton Rd Greenville SC 29607-3403 |
| Practice Telephone | 8648593233 |
| Practice Fax Number | 8648504001 |
| 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 | 910 | SC | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1362 | SC | Eye and Vision Services Providers |
| Y | 207W00000X | Ophthalmology | 14261 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9934 | 05 | |
| SC | MEDICARE RAILROAD | CN1549 | 01 |
| SC | GP0898 | 05 | |
| SC | MEDICAID DMERC | DM0384 | 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 |
| 1447220710 | Jervey Eye Group, Pa | Optometrist | 1 Colony Centre Way, Simpsonville, SC 29681-3286 | 2006-01-26 |
| 1992775696 | Jervey Eye Group, Pa | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-25 |
| Street Address |
220 S PENDLETON ST |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871563544 | David M Bowden | Ophthalmology | 220 S Pendleton St, Easley, SC 29640-3048 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| 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 |
|---|---|---|---|---|
| 1871563544 | David M Bowden | Ophthalmology | 220 S Pendleton St, Easley, SC 29640-3048 | 2006-01-25 |
| 1396722005 | Allan James Thompson Jr. | Ophthalmology | 109 Fleetwood Dr Ste B, Easley, SC 29640-2019 | 2005-12-23 |
| 1831419068 | Erin Lessner Black | Ophthalmology | 109 Fleetwood Dr Ste B, Easley, SC 29640 | 2010-06-10 |
| 1124236062 | Donald P Glaser | Ophthalmology | 15 Southern Center Ct, Easley, SC 29642-1533 | 2007-05-21 |
| 1588872410 | Brian Johnson | Ophthalmology | 15 Southern Center Ct, Easley, SC 29642-1533 | 2007-05-21 |
| 1205805389 | James Howard Oakman Jr. | Ophthalmology | 109 Fleetwood Dr Ste B, Easley, SC 29640-2019 | 2006-03-14 |
| 1760451892 | Jospeh L Parisi | Ophthalmology | 15 Southern Center Ct, Easley, SC 29642-1533 | 2006-03-14 |
| 1619941457 | Leroy J Howard | Ophthalmology | 15 Southern Center Ct, Easley, SC 29642-1533 | 2006-02-16 |
| 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 | ||||
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| 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.