NPIMap

Organization Active NPI

Southern Eye Associates of SC, PA

  • Eyewear Supplier
  • Greenville, SC
National Provider Identifier
1831989771
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SOUTHERN EYE ASSOCIATES OF SC, PA
Practice address
110 Mall Connector Dr
Greenville, SC 29607-6830
Phone
(864) 269-3333
Fax
(864) 626-0757
NPI assigned
May 12, 2025
Organization subpart
Yes
Parent organization
SOUTHERN EYE ASSOCIATES OF SC, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Denise Rivera
Title
Billing Manager
Phone
(864) 268-3341

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

110 Mall Connector Dr
Greenville, SC 29607-6830

Mailing address

113 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 269-3333

Other names 1

  • Southern Eye Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Eye Assoc of SC8 organizations share this tax ID, including this one
Part of
Southern Eye Assoc of SC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1831989771",
    "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": "864-626-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MALL CONNECTOR DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076830",
            "telephone_number": "864-269-3333",
            "fax_number": "864-626-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE ASSOCIATES OF SC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN EYE ASSOCIATES OF SC, PA",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "864-268-3341"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.