| Total Vision Services, P.c. | |
|
1021 Woodruff Rd Greenville SC 29607-4108 | |
| (864) 297-2573 | |
| (864) 297-2574 |
| Full Name | Total Vision Services, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 Woodruff Rd, Greenville, South Carolina |
| Authorized Official Name and Position | William Ernest Southerland (PRESIDENT) |
| Authorized Official Contact | 8642345350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Vision Services, P.c. 1021 Woodruff Rd Greenville SC 29607-4108 Ph: (864) 297-2573 | Total Vision Services, P.c. 1021 Woodruff Rd Greenville SC 29607-4108 Ph: (864) 297-2573 |
| NPI Number | 1821424250 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 5395002406 |
|---|---|
| Medicare Enrollment ID | O20171128001694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821424250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1580 (South Carolina) | Primary |
| Provider Name | William Ernest Southerland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821325333 PECOS PAC ID: 6204088107 Enrollment ID: I20121128000301 |
| Provider Name | Matthew L Stolz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548690969 PECOS PAC ID: 4981919230 Enrollment ID: I20150814013381 |
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