NPI 1023741279

Samuel Jay Simon

Practitioner Optician Greenville, SC

Practice location

Address: 1451 Woodruff Rd, Greenville, SC 29607-5741
Phone: (864) 234-5616
Fax: (864) 234-4996

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 685 (SC)

Other Technician/Technologist providers in South Carolina →

Registry record

NPI: 1023741279
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2022
Record last updated: 6 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.