# SOUTHERN EYE ASSOCIATES OF SC, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN EYE ASSOCIATES OF SC, PA
- **Other names:** Southern Eye Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831989771
- **Legal business name:** SOUTHERN EYE ASSOCIATES OF SC, PA
- **Authorized official:** DENISE RIVERA (BILLING MANAGER)
- **Authorized official phone:** (864) 268-3341

## Contact information

- **Practice address:** 110 MALL CONNECTOR DR, GREENVILLE, SC 29607-6830
- **Practice address phone:** (864) 269-3333
- **Practice address fax:** (864) 626-0757
- **Mailing address:** 113 DOCTORS DR, GREENVILLE, SC 29605-5608
- **Mailing address phone:** (864) 269-3333
- **Mailing address fax:** (864) 626-0757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2025
- **Last updated:** 05/28/2025