David Sassouni Eghigian, O.D.
Individual provider Active NPI Optometrist · Kingsland, GA
NPI 1467459057 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1467459057
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT003478 (GA)
- Practice address
- 1891 Hwy 40 E Ste 1102
Kingsland, GA 31548-6573 - Phone
- (912) 576-4466
- Fax
- (912) 576-4472
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seaside Ophthalmology Inc
Practice addresses (Care Compare)
3303 A Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.92 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231002000493 | GA | Practitioner - Optometry | 6406879691 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Ophthalmology, Inc | Optometrist | Current |
Accepting new patients |
| Seaside Surgical, LLC | Current | Accepting new patients | |
| Eye Specialists of America, LLC | Optometrist | Current |
Accepting new patients |
Locations
1620 Prince Ave
Athens, GA 30606
Phone (706) 546-0170
3303 Glynn Ave
#A
Brunswick, GA 31520
Phone (912) 466-9500
3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800
1030 Founders Row
Ste C
Greensboro, GA 30642
Phone 7065460170 ext. 203
1891 Highway 40 E
Ste 1102
Kingsland, GA 31548
Phone (912) 576-4466
101 Darling Ave
Waycross, GA 31501
Phone (912) 287-1297
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT003478 | GA | Yes |
Addresses
Primary practice location
1891 Hwy 40 E Ste 1102
Kingsland, GA 31548-6573
Mailing address
3303A Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500
Other practice location 1
3303A Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3551648 | Other | IL | AETNA |
| 08232030 | Other | IL | BLUE CROSS BLUE SHIELD |
| 2201326 | Other | IL | UNITED HEALTH CARE |
Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- 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.