Organization Active NPI

Eye Consultants of Savannah LLC

  • Ophthalmology Physician
  • Savannah, GA
National Provider Identifier
1376317602
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CONSULTANTS OF SAVANNAH LLC
Practice address
4849 Paulsen St
Savannah, GA 31405-4423
Phone
(912) 483-8817
Fax
(912) 216-3335
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Lily Hipp, MDNPI 1548764947
Title
Medical Director
Phone
(912) 483-8817

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4849 Paulsen St
Savannah, GA 31405-4423

Mailing address

4849 Paulsen St
Savannah, GA 31405-4423

Other names 1

  • Eye Consultants of Savannah Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240412003811 GA Part B Supplier - Clinic/Group Practice 2365881117 Receives reassigned benefits from 4 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

4849 Paulsen St
Savannah, GA 31405
Phone (912) 354-4813

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1376317602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054423",
            "telephone_number": "912-483-8817",
            "fax_number": "912-216-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONSULTANTS OF SAVANNAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "HIPP",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-483-8817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Consultants of Savannah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Consultants of Savannah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 2024; 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.