Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Jay Simon

Individual provider Optician · NPI 1023741279

Samuel Jay Simon is an Optician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022

Practice location Address checks out

1451 Woodruff Rd
Greenville, SC 29607-5741
Phone: (864) 234-5616
Fax: (864) 234-4996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 685 (SC)

Record details

NPI number1023741279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

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