Organization Active NPI

South East Eyecare

  • Optometrist
  • Owens Cross Roads, AL
National Provider Identifier
1861573198
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTH EAST EYECARE
Practice address
6838 Highway 431 S Ste a
Owens Cross Roads, AL 35763-7201
Phone
(256) 534-3900
Fax
(256) 534-6994
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Dr. Dewanna K Staup, O.D.NPI 1962439588
Title
General Partner
Phone
(256) 534-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6838 Highway 431 S Ste a
Owens Cross Roads, AL 35763-7201

Mailing address

6838 Highway 431 S Ste a
Owens Cross Roads, AL 35763-7201
Phone (256) 534-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080206000603 AL Part B Supplier - Clinic/Group Practice 8729161229 Receives reassigned benefits from 2 practitioners
Practice locations: Owens Cross Roads, AL

National Provider Directory

National Provider Directory

Locations

6838 Highway 431 S
Owens Cross Roads, AL 35763

6838 Highway 431 S
Ste A
Owens X Rds, AL 35763
Phone (256) 534-3900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1861573198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 HIGHWAY 431 S STE A",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357637201",
            "telephone_number": "256-534-3900",
            "fax_number": "256-534-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 HIGHWAY 431 S STE A",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357637201",
            "telephone_number": "256-534-3900",
            "fax_number": "256-534-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "STAUP",
        "authorized_official_first_name": "DEWANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "256-534-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.