MEDICARE: BLUE ROSE EYE CARE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1027	SC
2	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306060199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE ROSE EYE CARE PA

Provider Business Mailing Address
First Line	:	2304 W PARKER RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29617-2123
Country	:	US
Telephone Number	:	864-246-0964
Fax Number	:	864-246-2757

Provider Business Practice Location Address
First Line	:	2304 W PARKER RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29617-2123
Country	:	US
Telephone Number	:	864-246-0964
Fax Number	:	864-246-2757

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. WHITNEY R O'BRIAN
Credential	:	OD
Telephone Number	:	864-246-0964

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	04/30/2024

Similar Medicare Providers

1568412344 — KENNETH ANTHONY YEAGER
Practice Location Address:

2304 W PARKER RD
GREENVILLE, SC
29617-2123

Practice Phone: 864-246-0964
Practice Fax:

1801923487 — CYNTHIA W YEAGER OD
Practice Location Address:

2304 W PARKER RD
GREENVILLE, SC
29617-2123

Practice Phone: 864-246-0964
Practice Fax:

1568396927 — GOOD-NATURED HOMECARE
Practice Location Address:

1601 CEDAR LANE RD STE 18
GREENVILLE, SC
29617-2347

Practice Phone: 864-887-4391
Practice Fax:

1841125887 — MR. PATRICK C. FAHEY III PMHNP-BC
Practice Location Address:

328 GLENLEA LN
GREENVILLE, SC
29617-1229

Practice Phone: 864-884-5274
Practice Fax:

1043296791 — TERRY A WILLIS D.M.D.
Practice Location Address:

127 HUNTS BRIDGE RD
GREENVILLE, SC
29617-1623

Practice Phone: 864-246-6471
Practice Fax: 864-246-9917

1508815986 — KATHERINE M HAYNIE DC
Practice Location Address:

413 FARRS BRIDGE RD
GREENVILLE, SC
29617-1858

Practice Phone: 864-246-0803
Practice Fax: 864-246-0555

Directions to “BLUE ROSE EYE CARE PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.