NPIMap

Organization Active NPI

Georgia Eye Institute of the Southeast, LLC

  • Ophthalmology Physician
  • Hardeeville, SC
National Provider Identifier
1396007282
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Practice address
300 New River Parkway
Suite 31
Hardeeville, SC 29927-4451
Phone
(843) 208-3937
Fax
(843) 208-5330
NPI assigned
Jun 15, 2012
Organization subpart
Yes
Parent organization
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Mrs. Kathy Hegan
Title
Practice Administrator
Phone
(912) 629-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

300 New River Parkway
Suite 31
Hardeeville, SC 29927-4451

Mailing address

4720 Waters Ave
Savannah, GA 31404-6292
Phone (912) 354-4800

National Provider Directory

National Provider Directory
Tax ID family
Georgia Eye Institute9 organizations share this tax ID, including this one
Part of
Georgia Eye Institute

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1396007282",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PARKWAY",
            "address_2": "SUITE 31",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274451",
            "telephone_number": "843-208-3937",
            "fax_number": "843-208-5330"
        }
    ],
    "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": "2012-06-15",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "HEGAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-629-5929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.