Organization
SOUTHERN EYE ASSOCIATES OF SC, PA
Active
Parent organization
SOUTHERN EYE ASSOCIATES OF SC, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN EYE ASSOCIATES OF SC, PA
Authorized official
DENISE RIVERA (BILLING SUPERVISOR)
(864) 268-3341
Entity
Organization
Contact information
Practice address
161 THOMAS GREEN BLVD, CLEMSON, SC 29631-2166
(864) 269-3333
(864) 626-0757
Mailing address
113 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 269-3333
(864) 626-0757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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