Active NPI
Southern Eye Optical LLC
- Eyewear Supplier
- Greenville, SC
National Provider Identifier
1609267756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SOUTHERN EYE OPTICAL LLC
- Practice address
- 113 Doctors Dr
Greenville, SC 29605-5608 - Phone
- (864) 269-3333
- Fax
- (864) 295-1288
- NPI assigned
- Feb 11, 2015
- Organization subpart
- Yes
- Parent organization
- SOUTHERN EYE ASSOCIATES SOLE MBR
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradley B Williams, MD
- Title
- President
- Phone
- (864) 220-0737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
113 Doctors Dr
Greenville, SC 29605-5608
Mailing address
113 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 269-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7368890001 | Other | SC | MEDICARE DMERC |
| 7368890002 | Other | SC | MEDICARE DMERC |
Other names 1
- SOUTHERN EYE ASSOCIATES, PA
National Provider Directory
National Provider Directory- Part of
- Southern Eye Assoc of SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440460800000",
"number": "1609267756",
"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": "113 DOCTORS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296055608",
"telephone_number": "864-269-3333",
"fax_number": "864-295-1288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN EYE OPTICAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHERN EYE ASSOCIATES SOLE MBR",
"enumeration_date": "2015-02-11",
"last_updated": "2015-08-25",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-220-0737",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "7368890001",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "7368890002",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTHERN EYE ASSOCIATES, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Greenville, SC
- Southern Arms Home Care
- Southern Eye Associates of SC, PA
- Southern Eye Associates of SC, PA
- Southern Eye Associates of SC, PA
- Southern Eye Associates of South Carolina, PA
- Southern Grace Counseling LLC
- Southern Home Care Services
- Southern Hospitalty Home Health Care LLC
- Southern Oak Dental Greenville, LLC
- Southern Oak Dental, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.