NPIMap

Organization Active NPI

Southern Eye Associates of South Carolina, PA

Doing business as Southern Eye Associates, PA

  • Eyewear Supplier
  • Simpsonville, SC
National Provider Identifier
1285124347
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA
Doing business as
Southern Eye Associates, PA
Practice address
100 Allawood CT
Simpsonville, SC 29681-6207
Phone
(864) 269-3333
Fax
(864) 295-1288
NPI assigned
May 15, 2018
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Barbara Renee Bailey
Title
Practice Manager
Phone
(864) 269-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

100 Allawood CT
Simpsonville, SC 29681-6207

Mailing address

113 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 269-3333

Other names 1

  • SOUTHERN EYE ASSOCIATES, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180921002644 SC DME Supplier - Physician - Ophthalmology 4183681356 Practice locations: Simpsonville, SC

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Southern Eye Associates PA8 organizations share this tax ID, including this one
Part of
Southern Eye Associates PA

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Allawood Ct
Simpsonville, SC 29681
Phone (864) 269-3333

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1285124347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055608",
            "telephone_number": "864-269-3333",
            "fax_number": "864-295-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALLAWOOD CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816207",
            "telephone_number": "864-269-3333",
            "fax_number": "864-295-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA",
        "enumeration_date": "2018-05-15",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-269-3333"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN EYE ASSOCIATES, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHERN EYE ASSOCIATES, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.