# JERVEY EYE CENTER,LLC

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

## Provider details

- **NPI number:** 1275503906
- **Authorized official:** BRIAN W SHELLEY M.D. (PRESIDENT/MANAGING PARTNER)
- **Authorized official phone:** (864) 250-6484

## Contact information

- **Practice address:** 5 STEVENS ST STE 200, GREENVILLE, SC 29605-4528
- **Practice address phone:** (864) 250-6484
- **Practice address fax:** (864) 250-6490
- **Mailing address:** 601 HALTON RD, GREENVILLE, SC 29607-3403
- **Mailing address phone:** (864) 250-6484
- **Mailing address fax:** (864) 232-5158

## Taxonomy

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

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 06/15/2026
