JERVEY EYE GROUP, PA (NPI# 1992775696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992775696 |
| Entity Type | Organization |
| Organization Name | JERVEY EYE GROUP, PA |
| Practice Address |
601 Halton Rd Greenville SC 29607-3403 |
| Practice Telephone | 8644587956 |
| Practice Fax Number | 8644588390 |
| Mailing Telephone | 8644587956 |
| Mailing Fax Number | 8644588390 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | BRIAN W SHELLEY (PRESIDENT) |
| Authorized Official Telephone | 8644587956 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 11002 | SC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 14023 | SC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 28578 | SC | Allopathic & Osteopathic Physicians |
| N | 152W00000X | Optometrist | 646 | SC | Eye and Vision Services Providers |
| N | 207W00000X | Ophthalmology | 24224 | SC | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 17064 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0901 | 05 | |
| SC | DA9934 | 05 | |
| SC | MEDICARE RAILROAD | CN1548 | 01 |
| SC | MEDICAID DMERC NUMBER | DM0381 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Colony Centre Way, Simpsonville, SC 296813286 | 8649632171 | 8642282681 |
| 220 S Pendleton St, Easley, SC 296403048 | 8648593233 | 8648504001 |
| 5 Stevens St Ste 100, Greenville, SC 296054528 | 8642713354 | 8642326195 |
| 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 |
| 1700856077 | Jervey Eye Group, Pa | Optometrist | 220 S Pendleton St, Easley, SC 29640-3048 | 2006-01-26 |
| Street Address |
601 HALTON RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932179934 | Val S Dyches Jr. | Optometrist | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-24 |
| 1396044236 | Jervey Eye Group, Pa | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2011-03-17 |
| 1821006669 | David A Fleming | Anesthesiology | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-08-04 |
| 1821002072 | Steven M Andreasen | Optometrist | 601 Halton Rd, Greenville, SC 29607 | 2006-07-27 |
| 1346274453 | Brian Wells Shelley | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-07-11 |
| 1124099122 | Donald W Shelley | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-28 |
| 1487624912 | Thomas W Smith | Optometrist | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-26 |
| 1194795401 | Anthony P Johnson | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-26 |
| 1477523132 | Catherine S Bowden | Optometrist | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-25 |
| 1235109802 | Harold E Shaw Jr. | Ophthalmology | 601 Halton Rd, Greenville, SC 29607-3403 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| 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 |
|---|---|---|---|---|
| 1164683108 | East Carolina Retina Consultants, Pllc | Ophthalmology | 2501 Stantonsburg Rd, Ste A, Greenville, NC 27834-3205 | 2008-06-23 |
| 1821265141 | Sulene L Chi | Ophthalmology | 601 Halton, Greenville, SC 29607-3403 | 2008-05-15 |
| 1982732798 | Carolina's Eye Care, P.a. | Ophthalmology | 515 W. Butler Rd., Suite A, Greenville, SC 29607-4833 | 2007-03-01 |
| 1427139708 | Edwin G Egger | Ophthalmology | 505 Arnold Ave, Greenville, MS 38701-5320 | 2006-10-17 |
| 1558454298 | Kenneth J Hayles | Ophthalmology | 1550 Medical Park 1, Greenville, MS 38703-7239 | 2006-10-02 |
| 1225074396 | Anne V. Parker | Ophthalmology | 200 Patewood Dr Ste B180, Greenville, SC 29615-6316 | 2006-06-20 |
| 1740236611 | Elizabeth Yeargin Holland | Ophthalmology | 612 Grove Rd, Greenville, SC 29605-4209 | 2006-05-25 |
| 1356306997 | Eastern Carolina Eye Center Pa | Ophthalmology | 2573 Stantonsburg Road, Greenville, NC 27834 | 2006-04-18 |
| 1619930120 | Charles William Titone | Ophthalmology | 1011 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2006-04-07 |
| 1407826993 | John Delmar Siddens | Ophthalmology | 104 Simpson Street, Greenville, SC 29605-3593 | 2006-01-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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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.