Georgia Eye Institute of the Southeast, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC

Practice address

104 Andrews Street, Suite 112
Vidalia, GA 30474

Phone

(912) 537-4447

Fax

(912) 537-2743

NPI assigned

Mar 10, 2015

Organization subpart

Yes

Parent organization

GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLCAs reported in NPPES

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

Authorized official

Name

Kathy Hegan

Title

Practice Administrartor

Phone

(912) 629-5929

Specialties & licenses 1

Addresses

Part of

Georgia Eye Institute

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Fram, M.D.

  • Ophthalmology Physician
  • Savannah, GA
  • NPI 1124599212
  NPD
• Alison Pott, OD

  • Optometrist
  • Savannah, GA
  • NPI 1376273854
  NPD
• Ellen Skeadas Grody, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1275219255
  NPD
• Susan T Disario, OD

  • Optometrist
  • Bluffton, SC
  • NPI 1760445449
  NPD
• Kimberly K Hinson, OD

  • Optometrist
  • Bluffton, SC
  • NPI 1508820721
  NPD

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1154714574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046292",
            "telephone_number": "912-354-4800",
            "fax_number": "912-629-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ANDREWS STREET, SUITE 112",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-537-4447",
            "fax_number": "912-537-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "HEGAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRARTOR",
        "authorized_official_telephone_number": "912-629-5929"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frederick
• Barbara B. Geiger, DMD
• Georgia CVS Pharmacy LLC
• Georgia Eye Consultants, P.C.
• Georgia Eye Institute of the Southeast, LLC
• Georgia Eye Institute, Inc.
• Georgia Eye Institute, Inc.
• Georgia Hyperbaric and Wound Consulting, LLC
• Georgia Optical
• Georgia Palliative Care Inc.

• Optometrist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.