Georgia Eye Institute Of The Southeast, Llc
LBN: Georgia Eye Institute Of The Southeast, Llc
Georgia Eye Institute Of The Southeast, Llc is an health care organization with primary practice located at 4720 Waters Ave , Savannah GA 31404-6292. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Georgia Eye Institute Of The Southeast, Llc can be contacted via phone (912) 354-4800, or through Hegan, Kathy via phone (912) 629-5929.
Contact Information
Primary practice address
4720 Waters Ave
Savannah GA 31404-6292
Phone: (912) 354-4800
Fax: (912) 629-5821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1700039740 |
|---|---|
| LBN Legal business name | Georgia Eye Institute Of The Southeast, Llc |
| DBA Doing business as | |
| Authorized official | Hegan, Kathy |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 3rd, 2008 |
| Last updated | Dec 22nd, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700039740 | NPPES |
| South Carolina | Other | DAG976 | MEDICAID OD |
| South Carolina | Other | GP5020 | MEDICAID OD |
| South Carolina | Other | GPA977 | MEDICAID OD |
| South Carolina | Other | DA9642 | MEDICAID OD |
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