SOUTHSIDE EYE CENTER, P.C.
NPI 1396054458
Optometrist in Greenwood, IN
About Southside Eye Center, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE EYE CENTER, P.C. (NPI 1396054458) is a healthcare organization registered as an optometrist in Greenwood, Indiana and active in the NPI registry since October 2010. The organization lists Jeremy Elmore, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southside Eye Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southside Eye Center, P.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Southside Eye Center, P.C.'s NPI number?
The NPI number for Southside Eye Center, P.C. is 1396054458. It was assigned to this organization in the NPPES registry on October 6, 2010.
Where is Southside Eye Center, P.C. located?
Southside Eye Center, P.C. is located at 1634 W Smith Valley Rd Ste A, Greenwood, IN 46142. The listed phone number is (317) 883-2020.
What is Southside Eye Center, P.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Southside Eye Center, P.C. enrolled in Medicare?
Yes. Southside Eye Center, P.C. is registered in the Medicare PECOS enrollment system.
When is Southside Eye Center, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southside Eye Center, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Southside Eye Center, P.C.. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southside Eye Center, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Southside Eye Center, P.C. 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 Southside Eye Center, P.C. was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Southside Eye Center, P.c. · NPI 1396054458
Optometrist organization in Greenwood, Indiana. Organization record, active in the CMS NPPES registry since October 6, 2010.
## Identity
- **NPI:** 1396054458 (Entity type: Organization)
- **Enumerated:** October 6, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Elmore, PRESIDENT
## Practice location
- **Address:** 1634 W SMITH VALLEY RD STE A, Greenwood, IN 46142-1550
- **Phone:** (317) 883-2020 · **Fax:** (317) 883-2059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2012
- **Other identifiers:** Medicare PIN M100036991 (IN); Medicare PIN DS1108 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1396054458) · Data from the CMS NPPES public registry.