# WESTSIDE EYE CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164472098
- **Authorized official:** LAWRENCE E ROEL M.D. (OWNER)
- **Authorized official phone:** (864) 574-7767

## Contact information

- **Practice address:** 1413 JOHN B WHITE SR BLVD, SUITE D, SPARTANBURG, SC 29306-3995
- **Practice address phone:** (864) 574-7767
- **Mailing address:** 735 EAST MAIN ST, SPARTANBURG, SC 29302-1281
- **Mailing address phone:** (864) 542-1308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 14463 | SC | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 11/13/2007