Jervey Eye Group, Pa | |
1 Colony Centre Way, Simpsonville, SC 29681-3286 | |
(864) 458-3900 | |
(864) 967-9118 |
Full Name | Jervey Eye Group, Pa |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1 Colony Centre Way, Simpsonville, 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 |
---|---|---|---|
1447220710 | NPI | - | NPPES |
CN1548 | Other | SC | MEDICARE RAILROAD |
DE1061 | Other | SC | MEDICAID DMERC NUMBER |
GP1669 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | James W Culclasure |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386614238 PECOS PAC ID: 1153213970 Enrollment ID: I20040326000821 |
Provider Name | Joseph John Zinkovich |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285856757 PECOS PAC ID: 0547229049 Enrollment ID: I20041008001381 |
Provider Name | William H Ballinger |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659341170 PECOS PAC ID: 1850320433 Enrollment ID: I20050804000835 |
Provider Name | Brian Shelley |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1346274453 PECOS PAC ID: 7517976723 Enrollment ID: I20060417000733 |
Provider Name | Brian A Welcome |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851361505 PECOS PAC ID: 3274625264 Enrollment ID: I20100112000249 |
Provider Name | Catherine S Bowden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477523132 PECOS PAC ID: 9234270240 Enrollment ID: I20100112000511 |
Provider Name | David M Bowden |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871563544 PECOS PAC ID: 7810889698 Enrollment ID: I20100112000520 |
Provider Name | Steven M Andreasen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821002072 PECOS PAC ID: 0244360709 Enrollment ID: I20100609000489 |
Provider Name | William D Coleman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275889503 PECOS PAC ID: 5193976595 Enrollment ID: I20121113000006 |
Provider Name | Bridget M Whaley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144671900 PECOS PAC ID: 1557631082 Enrollment ID: I20170717001675 |
Provider Name | Allison Bray Pariyadath |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588957955 PECOS PAC ID: 2466772413 Enrollment ID: I20170828000930 |
Provider Name | Ashley Grace Lesley |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790761039 PECOS PAC ID: 8729273883 Enrollment ID: I20180411002067 |
Provider Name | Scott A Davis |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043694557 PECOS PAC ID: 4486962644 Enrollment ID: I20190911001409 |
Provider Name | Carl T Bruce |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043691124 PECOS PAC ID: 4284928169 Enrollment ID: I20200309000429 |
Provider Name | Lara Rosenwasser Newman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1033557368 PECOS PAC ID: 6800104589 Enrollment ID: I20210128002173 |
Provider Name | Bradley Gustave |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1861636581 PECOS PAC ID: 3678716156 Enrollment ID: I20210209000316 |
Provider Name | Garrison P Wier |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992199970 PECOS PAC ID: 2365737210 Enrollment ID: I20210416001403 |
Provider Name | Adam Pflugrath |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1134515042 PECOS PAC ID: 0143534545 Enrollment ID: I20210505002933 |
Provider Name | Diem Thi Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669554812 PECOS PAC ID: 8820016595 Enrollment ID: I20220110000942 |
Provider Name | Samantha Rodriguez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659630176 PECOS PAC ID: 9335375153 Enrollment ID: I20230118001538 |
Provider Name | Michael Mequio |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730328410 PECOS PAC ID: 2062676927 Enrollment ID: I20230525001978 |
Provider Name | Valerie C Ferrell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437452380 PECOS PAC ID: 3971745035 Enrollment ID: I20231023000319 |
Mailing Address | Practice Location Address |
---|---|
Jervey Eye Group, Pa 601 Halton Rd, Greenville, SC 29607-3403 Ph: (864) 458-7956 | Jervey Eye Group, Pa 1 Colony Centre Way, Simpsonville, SC 29681-3286 Ph: (864) 458-3900 |