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GEORGIA EYE INSTITUTE OF THE SOUTHEAST LLC NPI 1114250701


NPI Information

NPI: 1114250701
Provider Name: GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 11D2076543

Address:
2 E JACKSON BLVD
SAVANNAH, GA
ZIP 31405
Phone: (912) 352-7941
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GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC is an ophthalmology in Savannah, GA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC NPI is 1114250701. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 E JACKSON BLVD
SAVANNAH, GA
ZIP 31405-810
Phone: (912) 352-7941
Fax: (912) 352-7946

The provider's authorized official is Kathy Hegan .
The authorized official title is Practice Administrator and has the following contact phone number (912) 629-5929.

The CLIA number assigned to this NPI record is 11D2076543 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 10/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1916725695AMEDICAIDGEORGIA
2511G701032MEDICARE PINGEORGIA
3D04737OTHERGEORGIARAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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