Provider Demographics
NPI:1902453525
Name:SOUTHERN EYE ASSOCIATES OF SC, PA
Entity Type:Organization
Organization Name:SOUTHERN EYE ASSOCIATES OF SC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHND
Authorized Official - Suffix:
Authorized Official - Credentials:COT
Authorized Official - Phone:864-269-3333
Mailing Address - Street 1:113 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-5608
Mailing Address - Country:US
Mailing Address - Phone:864-269-3333
Mailing Address - Fax:844-965-9275
Practice Address - Street 1:1330 BOILING SPRINGS RD STE 2400
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4213
Practice Address - Country:US
Practice Address - Phone:864-269-3333
Practice Address - Fax:844-965-9275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty