| Clark Optometric Center Of Sc, P.a. | |
|
419 Se Main St Ste 300, Simpsonville, SC 29681-2676 | |
| (864) 417-2345 | |
| (864) 399-4519 |
| Full Name | Clark Optometric Center Of Sc, P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 419 Se Main St Ste 300, Simpsonville, 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 |
|---|---|---|---|
| 1063981900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Brian James Poole |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871517805 PECOS PAC ID: 9537165790 Enrollment ID: I20061011000126 |
| Provider Name | Gordon Stanley Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295841369 PECOS PAC ID: 7113053513 Enrollment ID: I20100324000950 |
| Provider Name | Kenneth Mack Nash |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922061209 PECOS PAC ID: 2466565940 Enrollment ID: I20101004001124 |
| Provider Name | Rosalind O Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366405771 PECOS PAC ID: 7214944206 Enrollment ID: I20101208000645 |
| Provider Name | Theron C Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477516987 PECOS PAC ID: 3375682081 Enrollment ID: I20110505000574 |
| Provider Name | Corey Ray Ommen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891286761 PECOS PAC ID: 4981953551 Enrollment ID: I20180815003558 |
| Provider Name | Lauren Dallas Rigsby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962939082 PECOS PAC ID: 6507102258 Enrollment ID: I20190116003783 |
| Provider Name | Sherri Christine Rast |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619046687 PECOS PAC ID: 9739261777 Enrollment ID: I20190204002669 |
| Provider Name | Michael Morshed Maseha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043797947 PECOS PAC ID: 0143569814 Enrollment ID: I20190225003206 |
| Provider Name | Mitchell Loftin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225086077 PECOS PAC ID: 8729186648 Enrollment ID: I20200515001275 |
| Provider Name | Sara Elizabeth Toomey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356834147 PECOS PAC ID: 1355775719 Enrollment ID: I20210319001582 |
| Provider Name | Kasey Lenhart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699343756 PECOS PAC ID: 1052712320 Enrollment ID: I20210623003365 |
| Provider Name | Alexandra Mehas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962094706 PECOS PAC ID: 6507228566 Enrollment ID: I20230808003925 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Optometric Center Of Sc, P.a. 200 Perimeter Park Drive, Unit D, Morrisville, NC 27560 Ph: (919) 544-4097 | Clark Optometric Center Of Sc, P.a. 419 Se Main St Ste 300, Simpsonville, SC 29681-2676 Ph: (864) 417-2345 |
Dr. Craig Thomas Rumple, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 655 Fairview Rd, Suite L, Simpsonville, SC 29680 Phone: 864-963-2828 Fax: 864-967-9099 | |
Sara H Bopp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 273 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-654-6706 Fax: 864-343-2074 | |
Southern Eye Associates Of South Carolina, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct, Simpsonville, SC 29681 Phone: 864-269-3333 Fax: 864-295-1288 | |
Branscum Vision Optometrist Medicare: Medicare Enrolled Practice Location: 3950 Grandview Dr, Simpsonville, SC 29680 Phone: 864-963-4218 Fax: 864-963-7319 | |
William David Coleman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Colony Centre Way, Simpsonville, SC 29681 Phone: 864-963-2171 Fax: 864-250-6475 | |
Gordon Stanley Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2827 Woodruff Rd, Simpsonville, SC 29681 Phone: 864-520-2480 |