Provider Demographics
NPI:1659441632
Name:VOSS AND VOSS, O.D., P.A.
Entity Type:Organization
Organization Name:VOSS AND VOSS, O.D., P.A.
Other - Org Name:VOSS VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:864-288-1990
Mailing Address - Street 1:361 HALTON RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3405
Mailing Address - Country:US
Mailing Address - Phone:864-288-1990
Mailing Address - Fax:864-288-8199
Practice Address - Street 1:361 HALTON RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3405
Practice Address - Country:US
Practice Address - Phone:864-288-1990
Practice Address - Fax:864-288-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC867152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDB5322OtherRAILROAD MEDICARE GROUP PTAN
SC6051560001Medicare NSC
SC3896Medicare ID - Type UnspecifiedMEDICARE GROUP #
SCT251473896Medicare PIN
SCT25147Medicare UPIN
SCT248593896Medicare PIN
SCT24859Medicare UPIN