MRS. PHYLLIS H KELLY (NPI# 1922162486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922162486 |
Entity Type | Individual |
Full Name | MRS. PHYLLIS H KELLY |
Practice Address |
1855 E Main St Spartanburg SC 29307-2309 |
Practice Telephone | 8645839007 |
Mailing Telephone | 8645839007 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
198 | SC | Eye and Vision Services Providers |
Street Address |
1855 E MAIN ST |
City | SPARTANBURG |
State | SC |
Zip Code | 29307-2309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750712899 | Bella Vision, LLC | Optometrist | 1855 E Main St, Suite 12, Spartanburg, SC 29307-2309 | 2013-11-27 |
1598998908 | Janet Monaco Wilson | Optometrist | 1855 E Main St, Suite 12, Spartanburg, SC 29307-2309 | 2009-09-01 |
1255502803 | Thomas Opticians Inc | Eyewear Supplier (Equipment, not the service) | 1855 E Main St, Spartanburg, SC 29307-2309 | 2008-03-21 |
1295850824 | Stephen Buck | Optometrist | 1855 E Main St, Ste 14, Tmb 151, Spartanburg, SC 29307-2309 | 2007-03-20 |
1245355890 | Paul Keane | Podiatrist | 1855 E Main St, Ste 14, Tmb 151, Spartanburg, SC 29307-2309 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
Find all providers in zip 29307 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295332864 | Insight Optical | Technician/Technologist | 451 E Saint John St, Spartanburg, SC 29302-1623 | 2020-10-06 |
1023269412 | Robert Mark Wilkins | Technician/Technologist | 404 Mccravy Dr # B, Spartanburg, SC 29303-3178 | 2008-10-04 |
1669486718 | Wilkins Opticians of Spartanburg,inc | Technician/Technologist | 404 Mccravy Dr, Spartanburg, SC 29303-3178 | 2006-07-27 |
1306097712 | Jeffrey Scott Wilkins | Technician/Technologist | 404 Mccravy Dr, Spartanburg, SC 29303-3178 | 2008-10-03 |
1588746606 | Wal-mart Stores East, Lp | Technician/Technologist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2006-10-19 |
1679654032 | Wal-mart Stores East, Lp | Technician/Technologist | 2151 E Main St, Spartanburg, SC 29307-1421 | 2006-10-18 |
1437240488 | Sam's Club Optical | Technician/Technologist | 200 Peachwood Centre Dr, Spartanburg, SC 29301-2586 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323289 | Benjamin Cade | Technician/Technologist | 404 Johnson St Ste A, Pickens, SC 29671-2479 | 2020-07-14 |
1891312427 | Cory Threatt | Technician/Technologist | 232 Cherry Rd S Ste 120, Rock Hill, SC 29732-3413 | 2020-06-30 |
1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
1942763750 | Kristi Thompson | Technician/Technologist | 100 Pershing Ave Ste 1, Clemson, SC 29631-2193 | 2019-04-09 |
1144792243 | Jennifer Rauchut | Technician/Technologist | 310 Azalea Square Blvd Unit C, Summerville, SC 29483-7362 | 2018-12-30 |
1215446877 | National Vision, Inc. | Technician/Technologist | 702 Fairview Rd, Simpsonville, SC 29680-8156 | 2017-09-27 |
1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
1104374172 | Sams East, Inc | Technician/Technologist | 14 Bluffton Road, Bluffton, SC 29910-7621 | 2016-09-19 |
1407303449 | Wal-mart Stores East, Lp | Technician/Technologist | 4 Bluffton Rd, Bluffton, SC 29910-7621 | 2016-09-07 |
Find all providers with the same taxonomy |
City | SPARTANBURG |
Zip Code | 29307 |
Please comment or provide details below to improve the information on MRS. PHYLLIS H KELLY.
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.