Individual provider Active NPI

William Ernest Southerland, O. D.

  • Optometrist
  • Greenville, SC
National Provider Identifier
1821325333
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1580 Issued in SC
Practice address
1 Halton Green Way
Greenville, SC 29607-6606
Phone
(864) 654-6706
NPI assigned
Nov 5, 2009
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1580 SC Primary

Addresses

Primary practice location

1 Halton Green Way
Greenville, SC 29607-6606

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

22995 US Highway 76
Clinton, SC 29325-7529
Phone (864) 654-6706

Other practice location 2

2011 E Greenville St
Anderson, SC 29621-1529
Phone (864) 654-6706

Other practice location 3

317 The Pkwy
Greer, SC 29650-4569
Phone (964) 654-6706

Other practice location 4

301 E Main St
Williamston, SC 29697-1912
Phone (864) 654-6706

Other practice location 5

931 Tiger Blvd
Clemson, SC 29631-1419
Phone (864) 654-6706

Other practice location 6

15 Southern Center Ct
Easley, SC 29642-1533
Phone (864) 654-6706

Other practice location 7

2735 Winnsboro Rd
Newberry, SC 29108-4011
Phone (864) 654-6706

Other practice location 8

360 Pelham Rd
Greenville, SC 29615-3111
Phone (864) 654-6706

Other practice location 9

317 The Pkwy
Greer, SC 29650-4569
Phone (964) 654-6706

Other practice location 10

273 Harrison Bridge Rd
Simpsonville, SC 29680-7132
Phone (864) 654-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000301 SC Practitioner - Optometry 6204088107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clemson Eye PAGroup PAC ID 4183537764, 51 clinicians

Practice addresses (Care Compare)

1 Halton Green Way
Greenville, SC 29607-6606
Phone (864) 654-6706

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
83.39
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1580SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clemson Eye, PA Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Clemson Eye, PA Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Clemson Eye, PA Optometrist PastSince Jun 16, 2024 Accepting new patients

Locations

2011 E Greenville St
Anderson, SC 29621
Phone (864) 622-5000

931 Tiger Blvd
Clemson, SC 29631

22995 US Highway 76
Clinton, SC 29325
Phone (864) 657-6706

15 Southern Center Ct
Easley, SC 29642
Phone (864) 722-1133

1 Halton Green Way
Greenville, SC 29607
Phone (864) 657-6706

360 Pelham Rd
Greenville, SC 29615
Phone (864) 268-1000

2735 Winnsboro Rd
Newberry, SC 29108
Phone (803) 276-4531

273 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 408-8380

301 E Main St
Williamston, SC 29697
Phone (864) 847-4440

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: william.southerlandod.p1@direct.clemsoneye.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1821325333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HALTON GREEN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076606",
            "telephone_number": "864-654-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22995 US Highway 76",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257529",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 E Greenville St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211529",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 The Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296504569",
            "country_code": "US",
            "telephone_number": "964-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Main St",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "SC",
            "postal_code": "296971912",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 Tiger Blvd",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311419",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Southern Center Ct",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296421533",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Winnsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291084011",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153111",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 The Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296504569",
            "country_code": "US",
            "telephone_number": "964-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "273 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807132",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "WILLIAM",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.