Organization
DR. H. G. SIMS, OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEBER GRANT SIMS O.D. (OPTOMETRIST)
(864) 574-0366
Entity
Organization
Contact information
Practice address
353 E BLACKSTOCK RD STE A, SPARTANBURG, SC 29301-3785
(864) 574-0366
(864) 574-0367
Mailing address
353 E BLACKSTOCK RD STE A, SPARTANBURG, SC 29301-3785
(864) 574-0366
(864) 574-0367
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
565
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO5652
—
SC
01
—
P00607240
RAILROAD
SC
Enumeration date
06/01/2008
Last updated
09/28/2009
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