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Organization

JERVEY EYE CENTER,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN W SHELLEY M.D. (PRESIDENT/MANAGING PARTNER)
(864) 250-6484
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
490004097
MEDICARE RAILROAD
SC
05
ASC016
SC
Enumeration date
01/25/2006
Last updated
09/23/2025
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