# EASTSIDE EYE CENTER PA

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

## Provider details

- **NPI number:** 1457451510
- **Authorized official:** LAWRENCE E ROEL MD (OWNER)
- **Authorized official phone:** (864) 542-1308

## Contact information

- **Practice address:** 735 E MAIN ST, SPARTANBURG, SC 29302-1281
- **Practice address phone:** (864) 542-1308
- **Mailing address:** 735 E MAIN ST, SPARTANBURG, SC 29302-1281
- **Mailing address phone:** (864) 542-1308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 14463 | SC | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 10/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2757 | — | SC |