Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA PAIGE SOUTHARD OD
NPI 1255202750
Optometrist in Durham, NC

Q: What is Samantha Southard's NPI number?

The NPI number for Samantha Southard is 1255202750. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Q: What is Samantha Southard's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Southard was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since September 16, 2025PECOS Enrolled

2351 ERWIN RD, DURHAM, NC 27705(919) 681-3937 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 16, 2025 (2 updates tracked since 2025).

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About Samantha Paige Southard Od NPPES

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

SAMANTHA PAIGE SOUTHARD OD (NPI 1255202750) is an individual optometrist in Durham, North Carolina, licensed in North Carolina (2893) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio State University - College Of Optometry (2025).

NPPES Registry Identity

NPI1255202750

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSAMANTHA PAIGE SOUTHARDCredential: OD

Location Address2351 ERWIN RDDurham, NC 27705-4699

Mailing Address2351 Erwin RdDurham, NC 27705-4699 · (919) 681-3937

Phone(919) 681-3937

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2025

Enumeration DateSeptember 16, 2025

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1255202750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NC · 2893✔ Licensed in CT · 3477

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2351 ERWIN RD, Durham, NC 27705

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Secondary Practice Locations 2

Location 1599 Farmington AveFarmington, CT 06032-2381 · Phone (860) 837-7250

Location 2131 New London TpkeGlastonbury, CT 06033-2246 · Phone (860) 545-9000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Paige Southard Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032696141

PECOS Enrollment IDI20260120003539

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

HENRY HSIEN-CHUN TSENG MD

Ophthalmology