DR. MARK JOSEPH EANES (NPI# 1205947496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205947496 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH EANES |
| Credential | M.D. |
| Practice Address |
2310 N Patterson St Suite B Valdosta GA 31602-2568 |
| Practice Telephone | 2292472020 |
| Practice Fax Number | 2292475600 |
| Mailing Telephone | 2292472020 |
| Mailing Fax Number | 2292475600 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 025970 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00330316A | 05 |
| Street Address |
2310 N PATTERSON ST SUITE B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938501 | Raymond Derry Crosby | Orthopaedic Surgery | 2310 N Patterson St, Bldg D, Valdosta, GA 31602-2568 | 2005-08-09 |
| 1770951253 | Dustin Goff | Nurse Anesthetist, Certified Registered | 2310 N Patterson St, Suite C, Valdosta, GA 31602-2568 | 2015-09-14 |
| 1891095840 | Karen Alene Bowser | Nurse Practitioner | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2010-10-25 |
| 1104134683 | Stephany Ann Norris | Counselor | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2010-09-18 |
| 1306090675 | Justin Mark Booth | Anesthesiologist Assistant | 2310 N Patterson St, Bldg C, Valdosta, GA 31602-2568 | 2008-11-12 |
| 1023275757 | Kelly Delayne Jones | Social Worker | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2008-05-20 |
| 1134316920 | South Georgia Orthopedics, P.C. | Clinic/Center | 2310 N Patterson St, Bld. D, Valdosta, GA 31602-2568 | 2007-09-26 |
| 1053527945 | Leah Carol Mcmillan | Marriage & Family Therapist | 2310 N Patterson St, Suite G, Valdosta, GA 31602-2568 | 2007-05-15 |
| 1316020043 | Southern Eye Center, PC | Optometrist | 2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 | 2006-10-24 |
| 1467556944 | Lance Jason Haluka | Optometrist | 2310 N Patterson St, Suite B, Valdosta, GA 31602-2568 | 2006-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497172787 | James Garrett Webster | Ophthalmology | 4120 N Valdosta Rd Ste A, Valdosta, GA 31602 | 2014-03-25 |
| 1568456770 | Donald John Mirate | Ophthalmology | 2707 N Forrest St, Valdosta, GA 31602-2057 | 2005-09-01 |
| 1780681544 | Albert Gonzalez-acevedo | Ophthalmology | 3024 N Patterson St, Valdosta, GA 31602-1711 | 2005-07-07 |
| 1841324803 | Donald J. Mirate, M.d., P.C. | Ophthalmology | 2707 N Forrest St, Valdosta, GA 31602-2057 | 2007-03-14 |
| 1548274129 | Ben H Moye | Ophthalmology | 3024 N Patterson St, Valdosta, GA 31602-1711 | 2006-07-28 |
| 1568449981 | Steven Thomas Greenhaw | Ophthalmology | 2704 N Oak St, Valdosta, GA 31602-1767 | 2005-12-28 |
| 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 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 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 |
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| 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.