SOUTHERN EYE OPTICAL LLC
NPI 1093106668
Eyewear Supplier in Greer, SC

Active since February 18, 2015CLIA 42D2152933 · Waiver
100 PHYSICIANS DR, GREER, SC 29650(864) 269-3333(864) 295-1288 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Eye Optical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN EYE OPTICAL LLC (NPI 1093106668) is a healthcare organization registered as an eyewear supplier in Greer, South Carolina and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Bradley B Williams, President, as its authorized official.

NPPES Registry Identity

NPI1093106668
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSOUTHERN EYE OPTICAL LLC
Location Address100 PHYSICIANS DRGreer, SC 29650-2445
Mailing Address113 Doctors DrGreenville, SC 29605-5608 · (864) 269-3333 · Fax (864) 295-1288
Fax(864) 295-1288
Organization SubpartYesParent: Southern Eye Associates Sole Mbr
Authorized OfficialBradley B WilliamsPresident · (864) 220-0737
Enumeration DateFebruary 18, 2015
Last NPPES UpdateAugust 25, 2015
NPI 1093106668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
100 PHYSICIANS DR, Greer, SC 29650

Other Identifiers 1

Other7368890002SC · Medicare Dmer

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2152933

Southern Eye Associates · Simpsonville, SC
Active · expires Aug 19, 2026
CLIA Number42D2152933
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorDr. Kurt F. Heitman
Laboratory Phone(864) 269-3333
Laboratory LocationSouthern Eye Associates100 Allawood Court, Simpsonville, SC 29681
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
100 PHYSICIANS DR
GREER, SC 29650
Ophthalmology
100 PHYSICIANS DR
GREER, SC 29650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Eye Optical LLC's NPI number?

The NPI number for Southern Eye Optical LLC is 1093106668. It was assigned to this organization in the NPPES registry on February 18, 2015.

Where is Southern Eye Optical LLC located?

Southern Eye Optical LLC is located at 100 Physicians Dr, Greer, SC 29650. The listed phone number is (864) 269-3333.

What is Southern Eye Optical LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Southern Eye Optical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2152933) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Eye Optical LLC was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.