SOUTHERN EYE ASSOCIATES OF SC, PA (NPI# 1538582150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538582150 |
| Entity Type | Organization |
| Organization Name | SOUTHERN EYE ASSOCIATES OF SC, PA |
| Other Organization Name | SOUTHERN EYE ASSOCIATES, PA |
| Practice Address |
113 Doctors Dr Greenville SC 29605 |
| 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 | 2014-02-03 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | MR. JAMES E BAILEY (CEO) |
| Authorized Official Telephone | 8642693333 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN EYE ASSOCIATES OF SC, PA |
| 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 | DME | 1257000001 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHERN EYE ASSOCIATES, PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453525 | Southern Eye Associates of Sc, Pa | Ophthalmology | 1330 Boiling Springs Rd Ste 2400, Spartanburg, SC 29303-4213 | 2019-08-19 |
| 1548683162 | Southern Eye Associates of Sc, Pa | Eyewear Supplier (Equipment, not the service) | 100 Physicians Dr, Greer, SC 29650 | 2014-02-03 |
| Street Address |
113 DOCTORS DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933510 | Southern Eye Associates of South Carolina, Pa | Optometrist | 113 Doctors Dr, Greenville, SC 29605-5608 | 2005-06-22 |
| 1609267756 | Southern Eye Optical LLC | Eyewear Supplier (Equipment, not the service) | 113 Doctors Dr, Greenville, SC 29605-5608 | 2015-02-11 |
| 1831500206 | Peter Benjamin Daniel | Ophthalmology | 113 Doctors Dr, Greenville, SC 29605 | 2014-05-19 |
| 1821439878 | Craig Allen O'dell | Optometrist | 113 Doctors Dr, Greenville, SC 29605-5608 | 2013-07-07 |
| 1770927212 | Andrew Ernest Hack | Ophthalmology | 113 Doctors Dr, Greenville, SC 29605-5608 | 2013-04-27 |
| 1205122975 | Wade Alex Reardon | Ophthalmology | 113 Doctors Dr, Greenville, SC 29605-5608 | 2011-06-21 |
| 1972656692 | Jeffrey V Swearingen | Optometrist | 113 Doctors Dr, Greenville, SC 29605-5608 | 2007-01-18 |
| 1396841599 | William Robert Steigerwald Jr. | Optometrist | 113 Doctors Dr, Greenville, SC 29605-5608 | 2006-09-15 |
| 1760431035 | Edward D Jervey | Ophthalmology | 113 Doctors Dr, Greenville, SC 29605-5608 | 2006-05-06 |
| 1437107836 | Bradley B Williams | Ophthalmology | 113 Doctors Dr, Greenville, SC 29605-5608 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1124305743 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 765 Haywood Rd, Greenville, SC 29607-2772 | 2011-11-10 |
| 1447589668 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 700 Haywood Dr, Haywood Mall, Greenville, SC 29607-2781 | 2009-12-17 |
| 1659561371 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 128 Greenacre Rd, Greenville, SC 29607-2330 | 2007-07-30 |
| 1871783035 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 15 Commerce St, Greenville, RI 02828-3011 | 2007-07-25 |
| 1346445467 | New South Labs, Inc | Eyewear Supplier (Equipment, not the service) | 207 W Antrim Dr, Greenville, SC 29607-2329 | 2007-06-19 |
| 1215153390 | Gosnell Chapman Vision Center | Eyewear Supplier (Equipment, not the service) | 100c Simpson St, Greenville, SC 29605-4413 | 2007-04-18 |
| 1720134778 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 101 Verdae Blvd, Greenville, SC 29607 | 2007-01-25 |
| 1801962220 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 700 Haywood Rd Ste 2018e, Greenville, SC 29607-2781 | 2006-11-28 |
| 1710051826 | Usvision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 59 Woodruff Industrial Ln, Greenville, SC 29607-4147 | 2006-11-20 |
| 1497838791 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 765 Haywood Road, Greenville, SC 29607 | 2006-10-23 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on SOUTHERN EYE ASSOCIATES OF SC, PA.
| 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.