SOUTHEAST EYE SPECIALISTS - SODDY DAISY
NPI 1750981189
Ophthalmology in Soddy Daisy, TN
About Southeast Eye Specialists - Soddy Daisy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST EYE SPECIALISTS - SODDY DAISY (NPI 1750981189) is a healthcare organization registered as an ophthalmology in Soddy Daisy, Tennessee and active in the NPI registry since October 2020. The organization lists Stacey Michelle Crudup, Chief Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Southeast Eye Specialists - Soddy Daisy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Southeast Eye Specialists - Soddy Daisy, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 43Source: 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 Southeast Eye Specialists, PLLC's NPI number?
The NPI number for Southeast Eye Specialists, PLLC is 1750981189. It was assigned to this organization in the NPPES registry on October 26, 2020. The provider is also known as Southeast Eye Specialists - Soddy Daisy.
Where is Southeast Eye Specialists, PLLC located?
Southeast Eye Specialists, PLLC is located at 9453 Dayton Pike, Soddy Daisy, TN 37379. The listed phone number is (423) 508-7337.
What is Southeast Eye Specialists, PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Southeast Eye Specialists, PLLC enrolled in Medicare?
Yes. Southeast Eye Specialists, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Eye Specialists, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeast Eye Specialists, 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. The largest specialties are Ophthalmology (26) and Optometry (17). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeast Eye Specialists, PLLC accept?
Health plans from Cigna Healthcare list Southeast Eye Specialists, 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 Southeast Eye Specialists, PLLC was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Southeast Eye Specialists - Soddy Daisy · NPI 1750981189
Ophthalmology organization in Soddy Daisy, Tennessee. Organization record, active in the CMS NPPES registry since October 26, 2020.
## Identity
- **NPI:** 1750981189 (Entity type: Organization)
- **Enumerated:** October 26, 2020
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Southeast Eye Specialists, Pllc
- **Organization subpart:** Yes (part of Southeast Eye Specialists, Pllc)
- **Authorized official:** Stacey Crudup, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 9453 DAYTON PIKE, Soddy Daisy, TN 37379-4751
- **Phone:** (423) 508-7337 · **Fax:** (423) 508-7338
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (26), Optometry (17); 2 practice at this address; [full list](https://npiprofile.com/npi/1750981189/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2020
- **Other identifiers:** Other 3721447; Other GRP6156; Medicaid 524169578A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1750981189) · Data from the CMS NPPES public registry.