Southern Eye Associates of South Carolina, PA
Organization Active NPI Eyewear Supplier · Simpsonville, SC
NPI 1285124347 · NPPES record last updated May 8, 2026
Key facts
- NPI
- 1285124347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA
- Practice address
- 100 Allawood CT
Simpsonville, SC 29681-6207 - Phone
- (864) 269-3333
- Fax
- (864) 295-1288
- NPI assigned
- May 15, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA
Authorized official
- Name
- Barbara Renee Bailey
- Title
- Practice Manager
- Phone
- (864) 269-3333
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 7
Practitioners 16
-
Peter Benjamin Daniel, M.D.
-
Peter Goodwin, MD
-
Kurt F Heitman, M.D.
-
Melissa Ixcamey, M.D.
-
Scott Mogavero, OD
-
Craig Allen O'Dell, O.D.
-
Wade Alex Reardon, M.D.
-
Douglas W Stokes, M.D.
-
Bradley B Williams, M.D.
-
David Williams, M.D.
-
Scott Cameron Cole, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180921002644 | SC | DME Supplier - Physician - Ophthalmology | 4183681356 | Practice locations: Simpsonville, SC |
National Provider Directory
- Tax ID family
- Southern Eye Assoc of SC
- Part of
- Southern Eye Assoc of SC
Locations
100 Allawood Ct
Simpsonville, SC 29681
Phone (864) 269-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
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
- SOUTHERN EYE ASSOCIATES, PA
Other providers in Simpsonville, SC
- South Carolina CVS Pharmacy, L.L.C.
- South Carolina CVS Pharmacy, L.L.C.
- South Carolina Dental Sleep Center, LLC
- South Carolina Dept of Mental Health Accounting Office
- Southern Eye Associates of South Carolina, PA
- Nicolas Everett Spano
- Spartanburg Medical Center
- Spartanburg Medical Center
- Spartanburg Medical Center
- Jan Speaks
All providers in Simpsonville, SC · Eyewear Supplier in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.