NPIMap

Organization Active NPI

Jervey Eye Group, PA

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1396044236
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11002 Issued in SC
Legal business name
JERVEY EYE GROUP, PA
Practice address
601 Halton Rd
Greenville, SC 29607-3403
Phone
(864) 458-7956
Fax
(864) 458-8390
NPI assigned
Mar 17, 2011
Last updated
Nov 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa L Farmer
Title
Surgery Center Director
Phone
(864) 250-6484

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11002 SC Primary
Ophthalmology Physician 207W00000X 8984 SC
Ophthalmology Physician 207W00000X 7319 SC
Ophthalmology Physician 207W00000X 291 SC
Ophthalmology Physician 207W00000X 26913 SC
Ophthalmology Physician 207W00000X 24224 SC

Addresses

Primary practice location

601 Halton Rd
Greenville, SC 29607-3403

Mailing address

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Other practice location 1

5 Stevens St Ste 2005
Greenville, SC 29605-4528
Phone (864) 250-6484

National Provider Directory

National Provider Directory
Tax ID family
Jervey Eye Group PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1396044236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Stevens St Ste 2005",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054528",
            "country_code": "US",
            "telephone_number": "864-250-6484",
            "fax_number": "864-458-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERVEY EYE GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SURGERY CENTER DIRECTOR",
        "authorized_official_telephone_number": "864-250-6484"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "11002",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "8984",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "7319",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "291",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "26913",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "24224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.