Individual
SAMUEL JAY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1451 WOODRUFF RD, GREENVILLE, SC 29607-5741
(864) 234-5616
(864) 234-4996
Mailing address
1451 WOODRUFF RD, GREENVILLE, SC 29607-5741
(864) 234-5616
(864) 234-4996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
685
SC
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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