South Georgia Eye Partners Pc
LBN: South Georgia Eye Partners Pc
South Georgia Eye Partners Pc is an health care organization with primary practice located at 4120 N Valdosta Rd Ste A , Valdosta GA 31602-4973. The organization recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
South Georgia Eye Partners Pc can be contacted via phone (229) 244-2068, or through Petermann, Scott H via phone (229) 244-2068.
Contact Information
Primary practice address
4120 N Valdosta Rd Ste A
Valdosta GA 31602-4973
Phone: (229) 244-2068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1922321728 |
|---|---|
| LBN Legal business name | South Georgia Eye Partners Pc |
| DBA Doing business as | |
| Authorized official | Petermann, Scott H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2010 |
| Last updated | Apr 5th, 2022 - about 4 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 | 1922321728 | NPPES |
| Georgia | Other | DQ3695 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 257511765A | RAILROAD MEDICARE |
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