| Carolina Vision Associates, Llc | |
|
180 N. Dean Street, Spartanburg, SC 29302-1517 | |
| (864) 583-3125 | |
| (864) 542-1367 |
| Full Name | Carolina Vision Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 180 N. Dean Street, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255357356 | NPI | - | NPPES |
| CJ9701 | Other | SC | RAILROAD MEDICARE GROUP # |
| DA9716 | Medicaid | SC | |
| D10496 | Medicaid | SC | |
| DA9715 | Medicaid | SC | |
| DA9837 | Medicaid | SC | |
| DO6544 | Medicaid | SC | |
| D10502 | Medicaid | SC | |
| D10924 | Medicaid | SC | |
| D10664 | Medicaid | SC | |
| DA9717 | Medicaid | SC | |
| DO9621 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 654 (South Carolina) | Primary |
| Provider Name | Stephanie L Younger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417952375 PECOS PAC ID: 0244133544 Enrollment ID: I20040202000399 |
| Provider Name | Rachelle Penka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437315934 PECOS PAC ID: 8426117268 Enrollment ID: I20081107000305 |
| Provider Name | Richard Dean Sprouse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548264575 PECOS PAC ID: 1557475795 Enrollment ID: I20110125000160 |
| Provider Name | William Michael Younger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528063682 PECOS PAC ID: 7315159548 Enrollment ID: I20110128000778 |
| Provider Name | Malissa T Mathis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487659256 PECOS PAC ID: 3476736927 Enrollment ID: I20110322000420 |
| Provider Name | Margaret Fern Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891799854 PECOS PAC ID: 3870705007 Enrollment ID: I20110412000723 |
| Provider Name | Eric Nelson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295392967 PECOS PAC ID: 4082940606 Enrollment ID: I20190719000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Vision Associates, Llc 180 N. Dean Street, Spartanburg, SC 29302-1517 Ph: (864) 583-3125 | Carolina Vision Associates, Llc 180 N. Dean Street, Spartanburg, SC 29302-1517 Ph: (864) 583-3125 |
Dr. Justine J O'dell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301 Phone: 864-576-0564 | |
Carolina Vision Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 180 N. Dean Street, Spartanburg, SC 29302 Phone: 864-583-3125 Fax: 864-542-1367 | |
Dwayne E. Harris, O.d., P.a Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1450 W O Ezell Blvd, Suite 600, Spartanburg, SC 29301 Phone: 864-587-2021 Fax: 864-587-5093 | |
Dr. Ruh Patel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Dorman Commerce Dr Ste G, Spartanburg, SC 29301 Phone: 864-587-5886 | |
Donald J. Kamer, O.d. Llc Optometrist Medicare: Medicare Enrolled Practice Location: 404 Mccravy Dr Ste B, Spartanburg, SC 29303 Phone: 864-585-2249 | |
Dr. Donald James Kamer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 Mccravy Dr Ste B, Spartanburg, SC 29303 Phone: 864-585-2249 | |
Lifetime Eyecare Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2428 Reidville Rd, Spartanburg, SC 29301 Phone: 864-576-7225 Fax: 864-576-7226 |