MRS. PHYLLIS H KELLY


Address: 1855 E Main St, Spartanburg, SC 29307-2309
Phone: 8645839007

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
198 SC Eye and Vision Services Providers

Office Location

Street Address 1855 E MAIN ST
City SPARTANBURG
State SC
Zip Code 29307-2309

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SPARTANBURG
Zip Code 29307

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Dataset Information

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.

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