| Upstate Eye Care, Pa | |
|
429 Roper Mountain Rd Bldg 200 Greenville SC 29615-4254 | |
| (864) 372-2020 | |
| (864) 234-6654 |
| Full Name | Upstate Eye Care, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 429 Roper Mountain Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Frank Boone (OWNER/PRESIDENT) |
| Authorized Official Contact | 8643722020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Eye Care, Pa 429 Roper Mountain Rd Bldg 200 Greenville SC 29615-4254 Ph: (864) 372-2020 | Upstate Eye Care, Pa 429 Roper Mountain Rd Bldg 200 Greenville SC 29615-4254 Ph: (864) 372-2020 |
| NPI Number | 1518356054 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 03/25/2015 |
| Medicare PECOS PAC ID | 1557688561 |
|---|---|
| Medicare Enrollment ID | O20150331001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518356054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Frank Dial Boone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326383431 PECOS PAC ID: 3971820994 Enrollment ID: I20150331001537 |
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