SOUTHERN EYECARE, P.C.
NPI 1407029465
Optometrist in Hazlehurst, GA
About Southern Eyecare, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN EYECARE, P.C. (NPI 1407029465) is a healthcare organization registered as an optometrist in Hazlehurst, Georgia and active in the NPI registry since April 2008. The organization lists Michael Lloyd Mason, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Southern Eyecare, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Eyecare, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Southern Eyecare PC carries, from the Medicare DMEPOS supplier directory.
Southern Eyecare PC
DMEPOS supplier · Hazlehurst, GAAccepts Medicare assignment
Southern Eyecare PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Eyecare, P.C.'s NPI number?
The NPI number for Southern Eyecare, P.C. is 1407029465. It was assigned to this organization in the NPPES registry on April 10, 2008.
Where is Southern Eyecare, P.C. located?
Southern Eyecare, P.C. is located at 25 Cross St, Hazlehurst, GA 31539. The listed phone number is (912) 375-2516.
What is Southern Eyecare, P.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Southern Eyecare, P.C. enrolled in Medicare?
Yes. Southern Eyecare, P.C. is registered in the Medicare PECOS enrollment system.
When is Southern Eyecare, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Physician - Optometrist) is due for revalidation by March 31, 2027. 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 Southern Eyecare, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Southern Eyecare, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Eyecare, P.C. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Southern Eyecare PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Southern Eyecare, P.C. was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southern Eyecare, P.c. · NPI 1407029465
Optometrist organization in Hazlehurst, Georgia. Organization record, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1407029465 (Entity type: Organization)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Michael Mason, OWNER
## Practice location
- **Address:** 25 CROSS ST, Hazlehurst, GA 31539-6427
- **Phone:** (912) 375-2516 · **Fax:** (912) 379-0755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, Georgia, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2013
- **Other identifiers:** Medicare NSC 4795340001 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407029465) · Data from the CMS NPPES public registry.