MEDICARE: IMAGE OBSESSION LLC

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	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2000027094	OTHER	SC	BUSINESS LICENSE

General Provider Information

NPI Number	:	1497374557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAGE OBSESSION LLC

Provider Business Mailing Address
First Line	:	1855 E MAIN ST # SR03
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-2309
Country	:	US
Telephone Number	:	864-237-8148
Fax Number	:	207-255-7679

Provider Business Practice Location Address
First Line	:	1855 E MAIN ST # SR03
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-2309
Country	:	US
Telephone Number	:	864-237-8148
Fax Number	:	207-255-7679

Authorized Official
Title or Position	:	OWNER
Name	:	TREONNA ROGERS
Credential	:
Telephone Number	:	864-237-8148

Provider Enumeration Date	:	04/09/2020
Last Update Date	:	04/09/2020

Similar Medicare Providers

1922162486 — MRS. PHYLLIS H KELLY
Practice Location Address:

1855 E MAIN ST
SPARTANBURG, SC
29307-2309

Practice Phone: 864-583-9007
Practice Fax:

1295850824 — STEPHEN BUCK
Practice Location Address:

1855 E MAIN ST , STE 14, TMB 151
SPARTANBURG, SC
29307-2309

Practice Phone: 252-985-1371
Practice Fax:

1245355890 — PAUL KEANE
Practice Location Address:

1855 E MAIN ST , STE 14, TMB 151
SPARTANBURG, SC
29307-2309

Practice Phone: 252-985-1371
Practice Fax:

1255502803 — THOMAS OPTICIANS INC
Practice Location Address:

1855 E MAIN ST
SPARTANBURG, SC
29307-2309

Practice Phone: 864-583-9007
Practice Fax:

1245875004 — A STEP FORWARD COUNSELING SERVICES LLC
Practice Location Address:

1855 E MAIN ST STE 14-128
SPARTANBURG, SC
29307-2309

Practice Phone: 864-541-4813
Practice Fax:

1548132848 — SHONIKA WILLIAMS
Practice Location Address:

1855 E MAIN ST STE 14-128
SPARTANBURG, SC
29307-2309

Practice Phone: 864-381-7818
Practice Fax:

Directions to “IMAGE OBSESSION LLC ” 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.