East Ga Regional Eye Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

045642 Issued in GA

Legal business name

EAST GA REGIONAL EYE CENTER

Practice address

21 N Zetterower Ave
Statesboro, GA 30458-7142

Phone

(912) 764-6357

Fax

(912) 764-2192

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack Robert Tenzel, M.D.

Title

President

Phone

(912) 764-6357

Specialties & licenses 1

Addresses

Tax ID family

East Ga Regional Eye Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• East Ga Regional Eye Center

  • Specialist
  • Statesboro, GA
  • NPI 1750488011
  NPD tax ID

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1790837706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587142",
            "telephone_number": "912-764-6357",
            "fax_number": "912-764-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587142",
            "telephone_number": "912-764-6357",
            "fax_number": "912-764-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GA REGIONAL EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "TENZEL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-764-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "045642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Eye Care
• Cole Samuel Eakin, MATRN, ATC
• Ear, Nose, & Throat Associates of Savannah, PC
• Earsource Technologies LLC
• East Ga Regional Eye Center
• East Ga Specialty Pharmacy
• East Georgia Cancer Center
• East Georgia Cancer Clinic
• East Georgia Center for Oral & Facial Surgery LLC
• East Georgia Counseling Services, Inc.

• Specialist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.