Organization Active NPI

Chatham Eye Associates

  • Specialist
  • Savannah, GA
National Provider Identifier
1326190737
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
053438 Issued in GA
Legal business name
CHATHAM EYE ASSOCIATES
Practice address
9104 Middleground Rd Ste 1
Savannah, GA 31406-9945
Phone
(912) 232-9700
Fax
(912) 201-1608
NPI assigned
Jan 17, 2007
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Ronald Dandy, MDNPI 1285663401
Title
Partner
Phone
(912) 232-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 053438 GA Primary

Addresses

Primary practice location

9104 Middleground Rd Ste 1
Savannah, GA 31406-9945

Mailing address

9104 Middleground Rd Ste 1
Savannah, GA 31406-9945
Phone (912) 232-9700

Other practice location 1

21 N Zetterower Ave
Statesboro, GA 30458-7142
Phone (912) 764-6357

Other identifiers 2

IdentifierTypeStateIssuer
021262938AMedicaidGA
449810589AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000000 GA Part B Supplier - Clinic/Group Practice 5193639706 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA; Statesboro, GA

National Provider Directory

National Provider Directory

Locations

3709 Waters Ave
Savannah, GA 31404
Phone (912) 354-1434

9104 Middleground Rd
Ste 1
Savannah, GA 31406
Phone (912) 201-1604

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1326190737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 MIDDLEGROUND RD STE 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069945",
            "telephone_number": "912-232-9700",
            "fax_number": "912-201-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 MIDDLEGROUND RD STE 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069945",
            "telephone_number": "912-232-9700",
            "fax_number": "912-201-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 N Zetterower Ave",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304587142",
            "country_code": "US",
            "telephone_number": "912-764-6357",
            "fax_number": "912-201-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHATHAM EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "DANDY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "912-232-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "053438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021262938A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449810589A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.