MEDICARE: CAROLINA'S EYE CARE, P.A.

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	207W00000X	Ophthalmology Physician		SC

General Provider Information

NPI Number	:	1982732798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA'S EYE CARE, P.A.

Provider Business Mailing Address
First Line	:	515 W. BUTLER RD.
Second Line	:	SUITE A
City	:	GREENVILLE
State	:	SC
Zip	:	29607-4833
Country	:	US
Telephone Number	:	864-236-9888
Fax Number	:	864-236-9889

Provider Business Practice Location Address
First Line	:	515 W. BUTLER RD.
Second Line	:	SUITE A
City	:	GREENVILLE
State	:	SC
Zip	:	29607-4833
Country	:	US
Telephone Number	:	864-236-9888
Fax Number	:	864-236-9889

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIUS WARREN WELBORN
Credential	:	M.D.
Telephone Number	:	864-236-9888

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	08/22/2020

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