NPIMap

Organization Active NPI

Georgia Eye Institute of the Southeast, LLC

  • Ophthalmology Physician
  • Savannah, GA
National Provider Identifier
1700039740
Registry record updated Aug 15, 2026
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
4720 Waters Ave
Savannah, GA 31404-6292
Phone
(912) 354-4800
Fax
(912) 629-5821
NPI assigned
Nov 3, 2008
Organization subpart
Yes
Parent organization
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Authorized official

Name
Heather Hamilton
Title
Director, Revenue Cycle
Phone
(912) 629-5880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4720 Waters Ave
Savannah, GA 31404-6292

Mailing address

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

Other practice location 1

2429 US Highway 17
Richmond Hill, GA 31324-3397
Phone (912) 756-6091

Other practice location 2

1000 Towne Center Blvd Ste 803
Pooler, GA 31322-4052
Phone (912) 450-3500

Other practice location 3

741 Weeping Willow Dr Ste A
Hinesville, GA 31313-3912
Phone (912) 368-2522

Other practice location 4

3303 Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500

Other practice location 5

420 Gentilly Pl
Statesboro, GA 30458-5187
Phone (912) 489-3606

Other practice location 6

4 Okatie Ctr Blvd Ste 102
Okatie, SC 29909-7530
Phone (843) 705-3333

Other practice location 7

109 Persimmon St
Bluffton, SC 29910-4779
Phone (843) 757-4400

Other practice location 8

2 E Jackson Blvd
Savannah, GA 31405-5810
Phone (912) 352-7941

Other practice location 9

198 SW Broad St
Jesup, GA 31545-1101
Phone (912) 274-7349

Other identifiers 5

IdentifierTypeStateIssuer
003352415AMedicaidGA
DA9642OtherSCMEDICAID OD - BLUFFTON
GPA977OtherSCMEDICAID MD
DAG976OtherSCMEDICAID OD
GP5020OtherSCMEDICAID MD- BLUFFTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081201000612 GA Part B Supplier - Clinic/Group Practice 0840351458 Receives reassigned benefits from 19 practitioners
Practice locations: Rincon, GA; Vidalia, GA; Statesboro, GA; Savannah, GA; Richmond Hill, GA; Jesup, GA; Hinesville, GA; Glennville, GA…
O20090206000108 SC Part B Supplier - Clinic/Group Practice 0840351458 Receives reassigned benefits from 12 practitioners
Practice locations: Bluffton, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Georgia Eye Institute

Locations

741 Weeping Willow Dr
Hinesville, GA 31313
Phone (912) 629-5968

2 E Jackson Blvd
Savannah, GA 31405
Phone (912) 352-2953

4 Okatie Center Blvd S
Okatie, SC 29909
Phone (843) 705-3333

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1700039740",
    "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": "4720 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046292",
            "telephone_number": "912-354-4800",
            "fax_number": "912-629-5821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2429 US Highway 17",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243397",
            "country_code": "US",
            "telephone_number": "912-756-6091",
            "fax_number": "912-756-6098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Towne Center Blvd Ste 803",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224052",
            "country_code": "US",
            "telephone_number": "912-450-3500",
            "fax_number": "912-450-3533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 Weeping Willow Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313133912",
            "country_code": "US",
            "telephone_number": "912-368-2522",
            "fax_number": "912-877-0185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3303 Glynn Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204406",
            "country_code": "US",
            "telephone_number": "912-466-9500",
            "fax_number": "912-629-5821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Gentilly Pl",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585187",
            "country_code": "US",
            "telephone_number": "912-489-3606",
            "fax_number": "912-489-1513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Okatie Ctr Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299097530",
            "country_code": "US",
            "telephone_number": "843-705-3333",
            "fax_number": "843-705-3334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Persimmon St",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104779",
            "country_code": "US",
            "telephone_number": "843-757-4400",
            "fax_number": "843-757-9183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 E Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314055810",
            "country_code": "US",
            "telephone_number": "912-352-7941",
            "fax_number": "912-352-7946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 SW Broad St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315451101",
            "country_code": "US",
            "telephone_number": "912-274-7349",
            "fax_number": "912-530-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "2008-11-03",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "912-629-5880"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003352415A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OD - BLUFFTON",
            "identifier": "DA9642",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MD",
            "identifier": "GPA977",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OD",
            "identifier": "DAG976",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MD- BLUFFTON",
            "identifier": "GP5020",
            "state": "SC"
        }
    ],
    "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 Aug 15, 2026; 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.