SOUTHPORT EYE CARE OD PLLC
NPI 1427929876
Optometrist in Southport, NC
About Southport Eye Care Od Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHPORT EYE CARE OD PLLC (NPI 1427929876) is a healthcare organization registered as an optometrist in Southport, North Carolina and active in the NPI registry since September 2025. The organization lists Zachery Taylor Stephenson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Southport Eye Care Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southport Eye Care Od PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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 Southport Eye Care Od PLLC's NPI number?
The NPI number for Southport Eye Care Od PLLC is 1427929876. It was assigned to this organization in the NPPES registry on September 17, 2025.
Where is Southport Eye Care Od PLLC located?
Southport Eye Care Od PLLC is located at 1620 N Howe St, Southport, NC 28461. The listed phone number is (919) 464-4050.
What is Southport Eye Care Od PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Southport Eye Care Od PLLC enrolled in Medicare?
Yes. Southport Eye Care Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southport Eye Care Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Southport Eye Care Od PLLC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southport Eye Care Od PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Southport Eye Care Od PLLC 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 Southport Eye Care Od PLLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Southport Eye Care Od Pllc · NPI 1427929876
Optometrist organization in Southport, North Carolina. Organization record, active in the CMS NPPES registry since September 17, 2025.
## Identity
- **NPI:** 1427929876 (Entity type: Organization)
- **Enumerated:** September 17, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Zachery Stephenson, PRESIDENT
## Practice location
- **Address:** 1620 N HOWE ST, Southport, NC 28461-8904
- **Phone:** (919) 464-4050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1427929876) · Data from the CMS NPPES public registry.