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SOUTHERN EYE ASSOCIATES OF SC, PA
NPI 1184414021
Ophthalmology in Greenville, SC

Active since May 12, 2025CLIA 42D2340775 · Waiver
110 MALL CONNECTOR DR, GREENVILLE, SC 29607(864) 269-3333(864) 626-0757 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, May 12, 2025 (2 updates tracked since 2025).

About Southern Eye Associates Of Sc, Pa NPPES

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

SOUTHERN EYE ASSOCIATES OF SC, PA (NPI 1184414021), doing business as Southern Eye Associates, is a healthcare organization registered as an ophthalmology in Greenville, South Carolina and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Denise Rivera, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1184414021
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTHERN EYE ASSOCIATES OF SC, PA
Location Address110 MALL CONNECTOR DRGreenville, SC 29607
Mailing Address113 Doctors DrGreenville, SC 29605-5608 · (864) 269-3333
Phone(864) 269-3333
Fax(864) 626-0757
Organization SubpartYesParent: Southern Eye Associates Of South Carolina, Pa
Authorized OfficialDenise RiveraBilling Manager · (864) 268-3341
Enumeration DateMay 12, 2025
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1184414021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
110 MALL CONNECTOR DR, Greenville, SC 29607
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern Eye Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 42D2340775

Southern Eye Associates Of Sc, P A · Greenville, SC
Active · expires Mar 22, 2028
CLIA Number42D2340775
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorKurt F. Heitman
Laboratory Phone(846) 269-3333
Laboratory LocationSouthern Eye Associates Of Sc, P A110 Mall Connector Drive Suite 101, Greenville, SC 29607
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SOUTHERN EYE ASSOCIATES OF SC, PA
Eyewear Supplier
110 MALL CONNECTOR DR
GREENVILLE, SC 29607
Greenville County (864) 269-3333

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 Associates Of Sc, PA's NPI number?

The NPI number for Southern Eye Associates Of Sc, PA is 1184414021. It was assigned to this organization in the NPPES registry on May 12, 2025. The provider is doing business as Southern Eye Associates.

Where is Southern Eye Associates Of Sc, PA located?

Southern Eye Associates Of Sc, PA is located at 110 Mall Connector Dr, Greenville, SC 29607. The listed phone number is (864) 269-3333.

What is Southern Eye Associates Of Sc, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Southern Eye Associates Of Sc, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2340775) is associated with this NPI, valid through March 22, 2028. 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 Associates Of Sc, PA was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.