Sims, Heber Grant
Sims, Heber Grant is an sole proprietor health care provider with primary practice located at 353A E Blackstock Rd , Spartanburg SC 29301-3762. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Sims, Heber Grant can be contacted via phone (864) 574-0366.Contact Information
Primary practice address
353A E Blackstock Rd
Spartanburg SC 29301-3762
Phone: (864) 574-0366
Fax: (864) 574-0367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 565 | South Carolina |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 565 | South Carolina |
Profile Details
| NPI number | 1588661649 |
|---|---|
| LBN Legal business name | Sims, Heber Grant |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Aug 8th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588661649 | NPPES |
| South Carolina | Other | T244250281 | MEDICARE PTAN |
| South Carolina | Other | P00607240 | MEDICARE PTAN |
| South Carolina | MEDICAID | DO5652 | MEDICARE PTAN |
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