Organization
SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA RENEE BAILEY (PRACTICE MANAGER)
(642) 220-0737
Entity
Organization
Contact information
Practice address
113 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 269-3333
(864) 295-1288
Mailing address
113 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 269-3333
(864) 295-1288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053369777
NPI
SC
01
—
1205122975
NPI
MO
01
—
1295886125
NPI
SC
05
—
130735
—
SC
01
—
1396841599
NPI
SC
01
—
1437107836
NPI
SC
05
—
153549
—
SC
01
—
1548218340
NPI
SC
01
—
1571
MEDICARE GROUP GREENVILLE OFFICE NUMBER
SC
01
—
1639127046
NPI
SC
01
—
1760431035
NPI
SC
01
—
1821439878
NPI
SC
05
—
335998
—
SC
05
—
52668
—
SC
01
—
6180
MEDICARE GROUP NUMBER GREER OFFICE
SC
05
—
D17998
—
SC
05
—
DA9608
—
SC
05
—
GP2766
—
SC
05
—
PA6449
—
SC
05
—
T48026
—
SC
05
—
TL5190
—
SC
Enumeration date
06/22/2005
Last updated
04/20/2018
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