Georgia Eye Institute, Inc.
Organization Active NPI Optometrist · Claxton, GA
NPI 1710054952 · NPPES record last updated Mar 11, 2008
Key facts
- NPI
- 1710054952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- GEORGIA EYE INSTITUTE, INC.
- Practice address
- 109 South Duval St
Claxton, GA 30417-2029 - Phone
- (912) 739-4031
- Fax
- (912) 739-0373
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Robin J. Maddox
- Title
- Provider Enrollment Coordinator
- Phone
- (912) 350-9335
Practitioners 3
-
Susan T Disario, OD
National Provider Directory
Locations
2429 US Highway 17
Richmond Hill, GA 31324
Phone (912) 756-3699
300 Durden St
Vidalia, GA 30474
Phone (912) 537-4447
30 William Pope Dr
Ste 101
Bluffton, SC 29909
Phone (843) 705-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Ophthalmology Physician |
207W00000X |
Addresses
Primary practice location
109 South Duval St
Claxton, GA 30417-2029
Mailing address
PO Box 931989
Atlanta, GA 31193-0001
Phone (912) 739-4031
Other providers in Claxton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.