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GEORGIA EYE INSTITUTE OF THE SOUTHEAST LLC NPI 1275885279


NPI Information

NPI: 1275885279
Provider Name: GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 11D2079173

Address:
445 S MAIN ST
SUITE 104
HINESVILLE, GA
ZIP 31313
Phone: (912) 368-2522
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GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC is an optometrist in Hinesville, 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 1275885279. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

445 S MAIN ST
SUITE 104
HINESVILLE, GA
ZIP 31313-333
Phone: (912) 368-2522
Fax: (912) 368-6437

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 11D2079173 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2012 and was last updated on 10/15/2012.


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
1207W00000XOphthalmologyNo
2152W00000XOptometristYes

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: 4/28/2024

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