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GEORGIA EYE INSTITUTE OF THE SOUTHEAST LLC NPI 1144474016


NPI Information

NPI: 1144474016
Provider Name: GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
6162 HWY 21 SOUTH
RINCON, GA
ZIP 31326
Phone: (912) 826-3949
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GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC is an optometrist in Rincon, GA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC NPI is 1144474016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6162 HWY 21 SOUTH
RINCON, GA
ZIP 31326-164
Phone: (912) 826-3949
Fax: (912) 826-0389

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 enumeration date for this NPI number is 11/5/2008 and was last updated on 10/17/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyNo
2152W00000XOptometristYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DAG976OTHERSOUTH CAROLINAMEDICAID OD
2GPA977OTHERSOUTH CAROLINAMEDICAID MD
3511G701032MEDICARE PINGEORGIA
46150410001MEDICARE NSCGEORGIA

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: 5/5/2024

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