# SOUTHERN EYE OPTICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN EYE ASSOCIATES SOLE MBR
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093106668
- **Legal business name:** SOUTHERN EYE ASSOCIATES SOLE MBR
- **Authorized official:** DR. BRADLEY B WILLIAMS MD (PRESIDENT)
- **Authorized official phone:** (864) 220-0737

## Contact information

- **Practice address:** 100 PHYSICIANS DR, GREER, SC 29650-2445
- **Practice address phone:** (864) 269-3333
- **Practice address fax:** (864) 295-1288
- **Mailing address:** 113 DOCTORS DR, GREENVILLE, SC 29605-5608
- **Mailing address phone:** (864) 269-3333
- **Mailing address fax:** (864) 295-1288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 08/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7368890002 | MEDICARE DMER | SC |