SOUTHEASTERN EYE CARE, PA
NPI 1407843014
Clinic/Center in Lumberton, NC

Active since September 29, 2005
106 FARM BROOK DR, SUITE B, LUMBERTON, NC 28358(910) 738-4856(910) 738-7999 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeastern Eye Care, Pa NPPES

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

SOUTHEASTERN EYE CARE, PA (NPI 1407843014) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since September 2005. The organization lists Timothy Scott Mouser, Ophthalmologist, as its authorized official.

NPPES Registry Identity

NPI1407843014
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN EYE CARE, PA
Location Address106 FARM BROOK DR, SUITE BLumberton, NC 28358-2178
Mailing Address106 Farm Brook Dr, Suite BLumberton, NC 28358-2178 · (910) 738-4856 · Fax (910) 738-7999
Fax(910) 738-7999
Organization SubpartNo
Authorized OfficialTimothy Scott MouserOphthalmologist · (910) 738-4856
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1407843014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedOphthalmologyTaxonomy 207W00000X
106 FARM BROOK DR, Lumberton, NC 28358

Other Identifiers 2

Medicaid8913746NC
OtherDC2898NC · Rr Medicare

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

Accepted 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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southeastern Eye Care, PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Qualified Audiologist
NPI 1811018906
106 FARM BROOK DR STE B
Lumberton, NC 28358
(910) 738-4856
✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1720075336
106 FARM BROOK DR STE B
Lumberton, NC 28358
(910) 738-4856
✔ PECOS✔ Accepts Medicare0.2 mi

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 Southeastern Eye Care, PA's NPI number?

The NPI number for Southeastern Eye Care, PA is 1407843014. It was assigned to this organization in the NPPES registry on September 29, 2005.

Where is Southeastern Eye Care, PA located?

Southeastern Eye Care, PA is located at 106 Farm Brook Dr Suite B, Lumberton, NC 28358. The listed phone number is (910) 738-4856.

What is Southeastern Eye Care, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Southeastern Eye Care, PA enrolled in Medicare?

Yes. Southeastern Eye Care, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Eye Care, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southeastern Eye Care, PA, in Ophthalmology and Qualified Audiologist. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Eye Care, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, BlueCross BlueShield of Tennessee and Cigna Healthcare list Southeastern 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 Southeastern Eye Care, PA was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.