Southeastern Eye Care, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHEASTERN EYE CARE, PA

Practice address

106 Farm Brook Dr
Suite B
Lumberton, NC 28358-2178

Phone

(910) 738-4856

Fax

(910) 738-7999

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Scott Mouser, M.D.NPI 1720075336

Title

Ophthalmologist

Phone

(910) 738-4856

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: smouser@southeasterneyecare.intellechartdirect.net
• Direct secure messaging: tmouser@southeasterneyecare.intellechartdirect.net

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Southeastern Eye Care, PA

  • Physical Therapist
  • Lumberton, NC
  • NPI 1770081077
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Scott Mouser, M.D.

  • Ophthalmology Physician
  • Lumberton, NC
  • NPI 1720075336
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Ervin Mouser, AU.D., CCC-A

  • Audiologist
  • Lumberton, NC
  • NPI 1811018906
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1407843014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FARM BROOK DR",
            "address_2": "SUITE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582178",
            "telephone_number": "910-738-4856",
            "fax_number": "910-738-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FARM BROOK DR",
            "address_2": "SUITE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582178",
            "telephone_number": "910-738-4856",
            "fax_number": "910-738-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MOUSER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "910-738-4856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913746",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC2898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Behavioral Homecare Services Inc
• Southeastern Cardiology PA
• Southeastern Cardiology PA
• Southeastern Community Services
• Southeastern Dermatology, PA
• Southeastern Eye Care, PA
• Southeastern Gastroenterology Endoscopy Center, PA
• Southeastern Health Physician Services
• Southeastern Health Physician Services
• Southeastern Health Physician Services

• Clinic/Center in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.