Glennville Eye Surgery Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Glennville, GA
NPI 1104228931 · NPPES record last updated Sep 24, 2014
Key facts
- NPI
- 1104228931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- GLENNVILLE EYE SURGERY CENTER LLC
- Practice address
- 605 S Veterans Blvd
Glennville, GA 30427-1775 - Phone
- (912) 354-4800
- NPI assigned
- Sep 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. David Kim, MD
- Title
- Medical Director
- Phone
- (912) 354-4800
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Glennville Eye Surgery Center LLC
- Medicare certification status
- Active
National Provider Directory
Locations
605 S Veterans Blvd
Glennville, GA 30427
Phone (912) 354-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
605 S Veterans Blvd
Glennville, GA 30427-1775
Mailing address
4720 Waters Ave
Savannah, GA 31404-6292
Other providers in Glennville, GA
- Abbie Floyd
- Octavian Demetrius Ford
- Elizabeth Navarrete Garcia
- Georgia Eye Institute of the Southeast, LLC.
- Tia Givens
- Glenvue H&R Nursing LLC
- Glenvue Operations LLC
- Michelle Ledesma Glisson
- Victoria Kangeter Griffith
- Joseph C Hand III
All providers in Glennville, GA · Ambulatory Surgical Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.