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General NPI Number Information
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NPI Number | 1275503906
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Entity Type | Organization
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Legal Business Name | JERVEY EYE CENTER,LLC
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 5 STEVENS ST STE 200
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City | GREENVILLE
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State | SC
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Zip | 29605-4528
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Country | US
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Telephone | 864-250-6484
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Fax | 864-250-6490
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Provider Business Mailing Address
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Address Line | 601 HALTON RD
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City | GREENVILLE
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State | SC
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Zip | 29607-3403
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Country | US
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Telephone | 864-250-6484
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Fax | 864-250-6490
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Authorized Official
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Title or Position | PRESIDENT/MANAGING PARTNER
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Name | BRIAN W SHELLEY
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Credential | M.D.
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Telephone | 864-250-6484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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