| Clemson Eye, Pa | |
|
360 Pelham Rd, Greenville, SC 29615-3111 | |
| (864) 654-6706 | |
| (864) 292-2020 |
| Full Name | Clemson Eye, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 360 Pelham Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447383831 | NPI | - | NPPES |
| CH3387 | Other | SC | MEDICARE RAILROAD GROUP |
| 1252210001 | Other | SC | DMERC MAC SUPPLIER ID |
| 9429296 | Other | SC | MULTIPLAN GROUP |
| DA9729 | Medicaid | SC | |
| PA1747 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 17209 (South Carolina) | Primary |
| Provider Name | Daniel J Haas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821005174 PECOS PAC ID: 0345153417 Enrollment ID: I20031106000303 |
| Provider Name | Nancy A Mahlie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467421909 PECOS PAC ID: 2365418035 Enrollment ID: I20040903000271 |
| Provider Name | Mckethen R Gaddy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740298876 PECOS PAC ID: 0446226930 Enrollment ID: I20040907000611 |
| Provider Name | David S Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124190939 PECOS PAC ID: 1658331830 Enrollment ID: I20041012001371 |
| Provider Name | David Wayne Hamill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851383806 PECOS PAC ID: 7012969322 Enrollment ID: I20050215000706 |
| Provider Name | Samuel E Seltzer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053379107 PECOS PAC ID: 2466344734 Enrollment ID: I20051205000405 |
| Provider Name | Howard Noble Greene |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891726766 PECOS PAC ID: 2264435486 Enrollment ID: I20060808000528 |
| Provider Name | William Troy Alexander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114931854 PECOS PAC ID: 1557366986 Enrollment ID: I20060919000084 |
| Provider Name | Theodore W Newman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225078983 PECOS PAC ID: 3274520739 Enrollment ID: I20060927000516 |
| Provider Name | Steven J Wearden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043280829 PECOS PAC ID: 9739287665 Enrollment ID: I20070604000050 |
| Provider Name | Kara Dodgens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710186572 PECOS PAC ID: 2769578970 Enrollment ID: I20071019000120 |
| Provider Name | Adam R Easterling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679603922 PECOS PAC ID: 1951490697 Enrollment ID: I20071204000431 |
| Provider Name | Brian R Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588872410 PECOS PAC ID: 1850475682 Enrollment ID: I20080303000592 |
| Provider Name | Donald P Glaser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124236062 PECOS PAC ID: 0749352151 Enrollment ID: I20080630000492 |
| Provider Name | Joseph L Parisi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760451892 PECOS PAC ID: 1254244833 Enrollment ID: I20090303000021 |
| Provider Name | Eric W Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164404737 PECOS PAC ID: 7911064936 Enrollment ID: I20090318000660 |
| Provider Name | Christy B Wallace |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356498547 PECOS PAC ID: 3971643545 Enrollment ID: I20091214000224 |
| Provider Name | Nick J Mclane |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215985056 PECOS PAC ID: 0547302515 Enrollment ID: I20100129000012 |
| Provider Name | Harvard Riddle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134155955 PECOS PAC ID: 8729046115 Enrollment ID: I20100721000809 |
| Provider Name | Samuel J Montgomery |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467488551 PECOS PAC ID: 2860469244 Enrollment ID: I20100728000351 |
| Provider Name | Marion K Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710969969 PECOS PAC ID: 5092782581 Enrollment ID: I20100729000334 |
| Provider Name | William J Milford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841272010 PECOS PAC ID: 1951349877 Enrollment ID: I20100802000701 |
| Provider Name | Mark H Vinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447279062 PECOS PAC ID: 6507939097 Enrollment ID: I20110929000189 |
| Provider Name | Sara Bopp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134136849 PECOS PAC ID: 7618141698 Enrollment ID: I20111201000521 |
| Provider Name | Jeffrey R Geer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396773388 PECOS PAC ID: 5698747798 Enrollment ID: I20111209000802 |
| Provider Name | Tracy Ray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073688206 PECOS PAC ID: 6608939780 Enrollment ID: I20120104000432 |
| Provider Name | Amy Elizabeth La Croix |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033471214 PECOS PAC ID: 1153587563 Enrollment ID: I20120730000025 |
| Provider Name | William Ernest Southerland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821325333 PECOS PAC ID: 6204088107 Enrollment ID: I20121128000301 |
| Provider Name | Alison Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962619304 PECOS PAC ID: 6608908462 Enrollment ID: I20130325000512 |
| Provider Name | Stephen Keith Flowers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265870182 PECOS PAC ID: 6002056967 Enrollment ID: I20130717000586 |
| Provider Name | Jennifer Virag Seibert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154618528 PECOS PAC ID: 7719155654 Enrollment ID: I20130823000972 |
| Provider Name | Diviyesh B Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609211853 PECOS PAC ID: 6608000294 Enrollment ID: I20131015001157 |
| Provider Name | Matthew L Stolz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548690969 PECOS PAC ID: 4981919230 Enrollment ID: I20150814013381 |
| Provider Name | Nagavivek P Vasuki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508158544 PECOS PAC ID: 7911147277 Enrollment ID: I20150819007500 |
| Provider Name | Justin H Surratt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255672010 PECOS PAC ID: 3779874839 Enrollment ID: I20160620002410 |
| Provider Name | Justin Michael Roman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891057980 PECOS PAC ID: 1052610318 Enrollment ID: I20160801002239 |
| Provider Name | Rebecca S Epstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346485661 PECOS PAC ID: 9335387232 Enrollment ID: I20170810002585 |
| Provider Name | Balaji Perumal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073755427 PECOS PAC ID: 8022251180 Enrollment ID: I20171013001126 |
| Provider Name | Kenneth Norman Sawyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477588614 PECOS PAC ID: 8022012038 Enrollment ID: I20180514001491 |
| Provider Name | Rachel Ferguson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942722293 PECOS PAC ID: 0547515959 Enrollment ID: I20180626000298 |
| Provider Name | Sreenivasa Basavanthappa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497953871 PECOS PAC ID: 4688863954 Enrollment ID: I20200513000970 |
| Provider Name | Mitchell Loftin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225086077 PECOS PAC ID: 8729186648 Enrollment ID: I20200515001275 |
| Provider Name | Mason Munn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811349897 PECOS PAC ID: 6507136785 Enrollment ID: I20200814001917 |
| Provider Name | Sean L. Patrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558989590 PECOS PAC ID: 1557788437 Enrollment ID: I20200825000853 |
| Provider Name | Komal Bhimani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912590514 PECOS PAC ID: 3678989514 Enrollment ID: I20210301002284 |
| Provider Name | Jonathan J Eide |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790367811 PECOS PAC ID: 7315347721 Enrollment ID: I20210607001232 |
| Provider Name | Diem Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669554812 PECOS PAC ID: 8820016595 Enrollment ID: I20220110000942 |
| Provider Name | Rishi Singhal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427412550 PECOS PAC ID: 6103119532 Enrollment ID: I20220225000642 |
| Provider Name | Jordan K Carlson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518606391 PECOS PAC ID: 0840678389 Enrollment ID: I20220612000022 |
| Provider Name | Macy Sparks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801526165 PECOS PAC ID: 9830578731 Enrollment ID: I20220623002104 |
| Provider Name | Krishi Peddada |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588014393 PECOS PAC ID: 3375965148 Enrollment ID: I20220713001275 |
| Provider Name | Donald Glenn Purcell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851475172 PECOS PAC ID: 8729128301 Enrollment ID: I20220728002363 |
| Provider Name | Briana Brunner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336677913 PECOS PAC ID: 3072997501 Enrollment ID: I20220901002614 |
| Provider Name | Robert B Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932418019 PECOS PAC ID: 7517108566 Enrollment ID: I20230309001085 |
| Provider Name | Aric Matthew Clegg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588125694 PECOS PAC ID: 6709202013 Enrollment ID: I20230717001825 |
| Provider Name | Dilip Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689613994 PECOS PAC ID: 9830101435 Enrollment ID: I20230919002980 |
| Mailing Address | Practice Location Address |
|---|---|
| Clemson Eye, Pa Po Box 896189, Charlotte, NC 28289-6189 Ph: (864) 654-6706 | Clemson Eye, Pa 360 Pelham Rd, Greenville, SC 29615-3111 Ph: (864) 654-6706 |
One Way Eyeglasses Optometrist Medicare: Not Enrolled in Medicare Practice Location: 50 E Antrim Dr, Greenville, SC 29607 Phone: 864-235-8778 Fax: 864-235-8783 | |
Dr. Nichole Haberkorn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Verdae Blvd Ste 160, Greenville, SC 29607 Phone: 864-676-1123 Fax: 864-675-3835 | |
Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3529 Highway 153, Greenville, SC 29611 Phone: 864-295-3550 Fax: 864-295-3242 | |
Dr. Amy Elizabeth La Croix, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Halton Green Way, Greenville, SC 29607 Phone: 864-654-6706 | |
Dr. Scott Mogavero, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 41 Park Creek Dr, Greenville, SC 29605 Phone: 864-299-1600 | |
Allison Chilton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 765 Haywood Rd Ste B1, Greenville, SC 29607 Phone: 864-234-5777 | |
Dr. Mcgregor And Associates Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1609 Woodruff Rd, Greenville, SC 29607 Phone: 864-288-7445 Fax: 864-288-8288 |