Provider Demographics
NPI:1922272863
Name:PRECISION EYECARE P.A.
Entity Type:Organization
Organization Name:PRECISION EYECARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:METRAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:864-634-6151
Mailing Address - Street 1:651 HIGHWAY 28 BYP
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29624-3009
Mailing Address - Country:US
Mailing Address - Phone:864-226-2299
Mailing Address - Fax:
Practice Address - Street 1:651 HIGHWAY 28 BYP
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29624-3009
Practice Address - Country:US
Practice Address - Phone:864-226-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1421152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDA9649Medicaid
8973Medicare PIN