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CHILDRENS EYE INSTITUTE OF SAVANNAH INC. NPI 1740433077


NPI Information

NPI: 1740433077
Provider Name: CHILDRENS EYE INSTITUTE OF SAVANNAH, INC.
Classification: Ophthalmology - 207WX0110X
Entity Type: Organization

Specialization: Pediatric Ophthalmology and Strabismus Specialist

CLIA Number: 11D2042985

Address:
340 EISENHOWER DR BLDG 1400
STE A
SAVANNAH, GA
ZIP 31406
Phone: (912) 353-1001
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CHILDRENS EYE INSTITUTE OF SAVANNAH, INC. is a pediatric ophthalmology and strabismus specialist ophthalmology in Savannah, GA. The provider is an ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. CHILDRENS EYE INSTITUTE OF SAVANNAH, INC. NPI is 1740433077. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

340 EISENHOWER DR BLDG 1400
STE A
SAVANNAH, GA
ZIP 31406-600
Phone: (912) 353-1001
Fax: (912) 353-1026

The provider's authorized official is John Michael Devaro .
The authorized official title is Owner and has the following contact phone number (912) 353-1001.

The CLIA number assigned to this NPI record is 11D2042985 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 5/7/2018.


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
1207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistYes

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
100750307GMEDICAIDGEORGIA

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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