Provider Demographics
NPI:1821424250
Name:TOTAL VISION SERVICES, P.C.
Entity Type:Organization
Organization Name:TOTAL VISION SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:SOUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:864-234-5350
Mailing Address - Street 1:1021 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-4108
Mailing Address - Country:US
Mailing Address - Phone:864-297-2573
Mailing Address - Fax:864-297-2574
Practice Address - Street 1:1021 WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-4108
Practice Address - Country:US
Practice Address - Phone:864-297-2573
Practice Address - Fax:864-297-2574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-17
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1580261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center