SOUTHERLIN FAMILY EYE CARE PA
NPI 1265734222
Optometrist in Greenville, SC

Q: What is Southerlin Family Eye Care PA's NPI number?

The NPI number for Southerlin Family Eye Care PA is 1265734222. It was assigned to this organization in the NPPES registry on November 24, 2010.

Q: What is Southerlin Family Eye Care PA's specialty?

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

Active since November 24, 2010

2084 WOODRUFF RD, SUITE B, GREENVILLE, SC 29607(864) 458-8633 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southerlin Family Eye Care Pa NPPES

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

SOUTHERLIN FAMILY EYE CARE PA (NPI 1265734222) is a healthcare organization registered as an optometrist in Greenville, South Carolina and active in the NPI registry since November 2010. The organization lists Stephanie Southerlin, President, as its authorized official.

NPPES Registry Identity

NPI1265734222

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSOUTHERLIN FAMILY EYE CARE PA

Location Address2084 WOODRUFF RD, SUITE BGreenville, SC 29607-5939

Mailing Address2131 Woodruff Rd, Ste 2100 #282Greenville, SC 29607-5950 · (864) 458-8633

Phone(864) 458-8633

Organization SubpartNo

Authorized OfficialStephanie SoutherlinPresident · (864) 354-6688

Enumeration DateNovember 24, 2010

Last NPPES UpdateMarch 31, 2011

✔ NPI 1265734222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SC · 1273

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.

2084 WOODRUFF RD, Greenville, SC 29607

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Other Identifiers 1

Medicare PIN9663SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southerlin Family Eye Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southerlin Family Eye Care PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Southerlin, O.D.

Optometry

NPI 1336295559

2084 WOODRUFF RD SUITE B
Greenville, SC 29607

(864) 458-8633

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southerlin Family Eye Care PA's NPI number?

The NPI number for Southerlin Family Eye Care PA is 1265734222. It was assigned to this organization in the NPPES registry on November 24, 2010.

Where is Southerlin Family Eye Care PA located?

Southerlin Family Eye Care PA is located at 2084 Woodruff Rd Suite B, Greenville, SC 29607. The listed phone number is (864) 458-8633.

What is Southerlin Family Eye Care PA's specialty?

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

Is Southerlin Family Eye Care PA enrolled in Medicare?

Yes. Southerlin Family Eye Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southerlin Family Eye Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Southerlin Family Eye Care PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southerlin Family Eye Care PA accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Southerlin Family Eye Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southerlin Family Eye Care PA was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.