Southerlin Family Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1273 Issued in SC

Legal business name

SOUTHERLIN FAMILY EYE CARE PA

Practice address

2084 Woodruff Rd
Suite B
Greenville, SC 29607-5939

Phone

(864) 458-8633

NPI assigned

Nov 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie SoutherlinNPI 1336295559

Title

President

Phone

(864) 354-6688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Southerlin, O.D.

  • Optometrist
  • Greenville, SC
  • NPI 1336295559
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1265734222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD",
            "address_2": "STE 2100 #282",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075950",
            "telephone_number": "864-458-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 WOODRUFF RD",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "864-458-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERLIN FAMILY EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-354-6688"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Marie South, APRN, WHNP-BC
• Robert South, EMT
• Kelly Southard
• Southeastern Dental Associates PA
• William Ernest Southerland, O. D.
• Southerlin Family Optical LLC
• Stephanie Southerlin, O.D.
• Southern Arms Home Care
• Southern Eye Associates of SC, PA (Southern Eye Associates)
• Southern Eye Associates of SC, PA (Southern Eye Associates, PA)

• Optometrist in Greenville, SC
• Providers in Greenville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.