SOUTH GEORGIA EYE PARTNERS


Address: 416 Tift Ave N, Tifton, GA 31794-4466
Phone: 2293914180

SOUTH GEORGIA EYE PARTNERS (NPI# 1093077984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093077984
Entity Type Organization
Organization Name SOUTH GEORGIA EYE PARTNERS
Practice Address 416 Tift Ave N
Tifton
GA 31794-4466
Mailing Address 4380 Kings Way
Valdosta
GA 31602-6921
Practice Telephone 2293914180
Practice Fax Number 2293912929
Mailing Telephone 2292442068
Mailing Fax Number 2292442850
Enumeration Date 2012-06-15
Last Update Date 2012-06-15
Authorized Official Name SCOTT H PETERMANN (OWNER)
Authorized Official Telephone 2293914126
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist Eye and Vision Services Providers
N 152WC0802X Optometrist
Specialization: Corneal and Contact Management
Eye and Vision Services Providers
N 152WP0200X Optometrist
Specialization: Pediatrics
Eye and Vision Services Providers
N 152WS0006X Optometrist
Specialization: Sports Vision
Eye and Vision Services Providers
N 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Office Location

Street Address 416 TIFT AVE N
City TIFTON
State GA
Zip Code 31794-4466

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841457348 Kyle Register Chiropractor 416 Tift Ave N, Tifton, GA 31794-4466 2008-05-21
1194020016 South Georgia Pain Management Chiropractor 416 Tift Ave N, Tifton, GA 31794-4466 2011-01-25
1477874253 South Georgia Eye Partners PC Optometrist 416 Tift Ave N, Tifton, GA 31794-4466 2010-06-16
1912140880 Pamela Hanks Massage Therapist 416 Tift Ave N, Tifton, GA 31794-4466 2009-04-08
1538323589 Center for Family Health and Wellness, LLC Chiropractor 416 Tift Ave N, Tifton, GA 31794-4466 2008-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234043 Deloris Lunsford Licensed Practical Nurse 903 Washington St., Tifton, GA 31794 2020-01-17
1194383075 William Jordan Kinnett Registered Nurse 1205 Tift Ave N, Tifton, GA 31794 2019-06-05
1598321200 Courtlyn Christanna Fussell Pharmacist 2201 Hwy 41 N, Tifton, GA 31794 2019-05-17
1376027722 Martha Gibbs Nurse Practitioner Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 2018-09-21
1427541044 Rebekah F Cottle Speech-Language Pathologist 2227 Highway 41 North, Tifton, GA 31794 2018-06-08
1790280857 Tift Regional Health System Inc Ophthalmology 1803 Old Ocilla Road, Tifton, GA 31794 2018-03-29
1568975431 Skyler Clark Pharmacist 2201 North 12th Street, Tifton, GA 31794 2017-11-14
1538606306 Imagine Peace Counseling LLC Counselor 223 E 2nd Street, Suite B, Tifton, GA 31794 2017-01-31
1073056347 Jessica Tumbling Contractor 219 Savannah Way, Tifton, GA 31794 2016-11-18
1992159503 Joseph Thomas Seagraves Jr. Nurse Practitioner 901 East 18th Street, Tifton, GA 31794 2016-04-20
Find all providers in zip 31794

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790280857 Tift Regional Health System Inc Ophthalmology 1803 Old Ocilla Road, Tifton, GA 31794 2018-03-29
1174969281 Ronald Mitchell Hughes Ophthalmology 6307 Forest Lake Dr E, Tifton, GA 31794-2316 2013-05-15
1336150648 Robert Jon Holme Ophthalmology 1803 Old Ocilla Rd, Tifton, GA 31794-1617 2006-08-11
1942689690 William Johnson Ophthalmology 1803 Old Ocilla Rd, Tifton, GA 31794-1617 2015-05-28
1316343452 Tifton Ophthalmology Associates. PC Ophthalmology 1803 Old Ocilla Rd, Tifton, GA 31794-1617 2014-11-18
1962846352 Amedco Georgia LLC Ophthalmology 1803 Old Ocilla Rd, Tifton, GA 31794-1617 2013-04-29
1225193329 Larry R Moorman M D, PC Ophthalmology 1803 Old Ocilla Rd, Tifton, GA 31794-1617 2006-12-27
1518978881 Larry Russell Moorman Ophthalmology 1803 Old Ocilla Rd, Tifton, GA 31794-1617 2006-08-11
1841201134 Bret Bouton Wagenhorst Ophthalmology 1803 Old Ocilla Rd, Tifton, GA 31794-1617 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748219 Athens Eye Consultants LLC Ophthalmology 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 2020-10-21
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1578188306 The Eye Md Ophthalmology 1359 Milstead Road, Suite #103, Conyers, GA 30012 2020-06-08
1255974630 Thomas Eye Group PC Ophthalmology 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 2019-10-18
1972151462 Rahul Assa Sharma Ophthalmology Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 2019-08-28
1821589441 Thomas Eye Group PC Ophthalmology 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 2018-05-21
1609363878 Patricia Anne Bentley Ophthalmology 4712 Polo Ln Se, Atlanta, GA 30339-5328 2018-04-13
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1689038986 Jonathan Shader Ophthalmology 1120 15th St # Ba-2720, Augusta, GA 30912-3983 2016-04-12
1467814830 David Jay Felsted Ophthalmology 1120 15th St Ste Ba-2701, Augusta, GA 30912-0004 2016-03-24
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Competitor

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City TIFTON
Zip Code 31794

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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