Individual provider Active NPI

Dennis P Breene, M.D.

  • Ophthalmology Physician
  • Macon, GA
National Provider Identifier
1073603130
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
84184 Issued in GA
Practice address
4050 Riverside Dr
Macon, GA 31210-1805
Phone
(478) 744-1710
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 84184 GA Primary

Addresses

Primary practice location

4050 Riverside Dr
Macon, GA 31210-1805

Mailing address

4050 Riverside Dr
Macon, GA 31210-1805
Phone (478) 744-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191216001884 GA Practitioner - Ophthalmology 3375576002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Eye GroupGroup PAC ID 0345581229, 7 clinicians

Practice addresses (Care Compare)

4050 Riverside Dr
Macon, GA 31210-1805
Phone (478) 744-1710

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Eye Center, LLC CurrentSince Oct 7, 2019 Accepting new patients
Vision Eye Group Ophthalmology CurrentSince Apr 1, 2024 Accepting new patients

Locations

2070 Pleasant Hill Rd
Ste 100
Duluth, GA 30096
Phone (770) 622-2020

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

Interoperability endpoints

  • Direct secure messaging: dbreene@visioneyegroup.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1073603130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "478-744-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "478-744-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREENE",
        "first_name": "DENNIS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "84184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.