SOUTHERN EYE OPTICAL LLC (NPI# 1093106668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093106668 |
| Entity Type | Organization |
| Organization Name | SOUTHERN EYE OPTICAL LLC |
| Practice Address |
100 Physicians Dr Greer SC 29650-2445 |
| Mailing Address |
113 Doctors Dr Greenville SC 29605-5608 |
| Practice Telephone | 8642693333 |
| Practice Fax Number | 8642951288 |
| Mailing Telephone | 8642693333 |
| Mailing Fax Number | 8642951288 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | DR. BRADLEY B WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 8642200737 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN EYE ASSOCIATES SOLE MBR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE DMER | 7368890002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609267756 | Southern Eye Optical LLC | Eyewear Supplier (Equipment, not the service) | 113 Doctors Dr, Greenville, SC 29605-5608 | 2015-02-11 |
| Street Address |
100 PHYSICIANS DR |
| City | GREER |
| State | SC |
| Zip Code | 29650-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740474048 | Southern Eye Associates of South Carolina, Pa | Optometrist | 100 Physicians Dr, Greer, SC 29650-2445 | 2007-08-29 |
| 1548683162 | Southern Eye Associates of Sc, Pa | Eyewear Supplier (Equipment, not the service) | 100 Physicians Dr, Greer, SC 29650 | 2014-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548683162 | Southern Eye Associates of Sc, Pa | Eyewear Supplier (Equipment, not the service) | 100 Physicians Dr, Greer, SC 29650 | 2014-02-03 |
| 1508164203 | M.s. Mcmeekin, O.d., LLC | Eyewear Supplier (Equipment, not the service) | 2411 Hudson Rd, Eastside Eyecare, Greer, SC 29650-2923 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575453 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1035 Jockey Ct, Summerville, SC 29483-5217 | 2020-10-14 |
| 1144866898 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1218 Belk Dr # B-2b, Mt Pleasant, SC 29464-3394 | 2019-11-18 |
| 1811539406 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2427 Cross Pointe Dr, Rock Hill, SC 29730-8267 | 2019-10-15 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1972049229 | Eyewear By David | Eyewear Supplier (Equipment, not the service) | 927 University Dr, Lancaster, SC 29720-9496 | 2017-01-10 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1528459062 | Carolina Optical, LLC | Eyewear Supplier (Equipment, not the service) | 503 W Butler Ave, Saluda, SC 29138-1313 | 2015-02-05 |
| 1649691205 | Eye C You Optical | Eyewear Supplier (Equipment, not the service) | 447 S Railroad Ave, Ridgeville, SC 29472 | 2013-12-30 |
| 1740626068 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Columbiana Circle 102, Columbia, SC 29212-2231 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.