Southern Eye Associates of South Carolina, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA

Practice address

100 Physicians Dr
Greer, SC 29650-2445

Phone

(864) 269-3333

Fax

(864) 295-1288

NPI assigned

Aug 29, 2007

Last updated

May 8, 2026By the provider in NPPES

Organization subpart

No

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) 220-0737

Specialties & licenses 2

Addresses

Other identifiers 20

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Eye Associates of SC, PA

  dba Southern Eye Associates, PA

  • Eyewear Supplier
  • Greer, SC
  • NPI 1548683162

  O20100930040951

  Same enrollment
• Southern Eye Associates of South Carolina, PA

  dba Southern Eye Associates, PA

  • Ophthalmology Physician
  • Simpsonville, SC
  • NPI 1134616592

  O20041220000527

  Same enrollment
• Southern Eye Associates of South Carolina, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1215933510

  O20041220000527

  Same enrollment

Locations

Practitioners 9

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.

• Andrew Ernest Hack, MD

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1770927212
  NPD
• Kurt F Heitman, M.D.

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1548218340
  NPD
• Craig Allen O'Dell, O.D.

  • Optometrist
  • Greenville, SC
  • NPI 1821439878
  NPD
• Wade Alex Reardon, M.D.

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1205122975
  NPD
• William Robert Steigerwald Jr., OD

  • Optometrist
  • Greenville, SC
  • NPI 1396841599
  NPD
• Douglas W Stokes, M.D.

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1639127046
  NPD
• Jeffrey V Swearingen, O.D.

  • Optometrist
  • Greenville, SC
  • NPI 1972656692
  NPD
• Bradley B Williams, M.D.

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1437107836
  NPD
• Stanley Tyler Pace, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Knoxville, TN
  • NPI 1366717605

  Ophthalmology

  NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1740474048",
    "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 PHYSICIANS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502445",
            "telephone_number": "864-269-3333",
            "fax_number": "864-295-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "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": "864-220-0737"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130735",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "6180",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T48026",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295886125",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740474048",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760431035",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL5190",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D17998",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2766",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821439878",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52668",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053369777",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205122975",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437107836",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9608",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153549",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548218340",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33599",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396841599",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639127046",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina CVS Pharmacy LLC (CVS Pharmacy #04153)
• South Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy #02189)
• South Carolina Research Group LLC
• South Carolina Speech Therapy, LLC
• Southern Eye Associates of SC, PA (Southern Eye Associates, PA)
• Southern Eye Optical LLC
• Brian Spackman, DC
• Leslie Ann Sparovic, PHARMD
• Spartanburg Medical Center (Medical Group of the Carolinas - Breast Care and Gynecologic Oncology - Pelham)
• Spartanburg Medical Center (Medical Group of the Carolinas- Family Medicine -Five Forks-Pelham)

• Ophthalmology Physician in Greer, SC
• Providers in Greer, SC by specialty
• Ophthalmology Physician in South Carolina

• 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.