GEORGIA EYE INSTITUTE SURGERY CENTER LLC (NPI# 1356575377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356575377 |
| Entity Type | Organization |
| Organization Name | GEORGIA EYE INSTITUTE SURGERY CENTER LLC |
| Practice Address |
4720 Waters Ave Savannah GA 31404-6292 |
| Practice Telephone | 9126295959 |
| Practice Fax Number | 9126295821 |
| Mailing Telephone | 9126295959 |
| Mailing Fax Number | 9126295821 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | DR. JOSEPH R GUSSLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9123594829 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
4720 WATERS AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617419 | Shari Carney | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404 | 2005-05-31 |
| 1366734147 | Thomas J Kandl | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2011-05-11 |
| 1700039740 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2008-11-03 |
| 1306006226 | Robin Ray | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2008-06-13 |
| 1508058181 | Memorial Health University Medical Center | General Acute Care Hospital | 4720 Waters Ave, Savannah, GA 31404-6292 | 2007-08-16 |
| 1740487131 | Jennifer Goodrich Bromley | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2007-06-28 |
| 1952323990 | Georgia Eye Institute, Inc. | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-07-25 |
| 1003831371 | Nicholas R. Bollin | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-07-13 |
| 1437198983 | Joseph R Gussler | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-06-06 |
| 1508805052 | David D Kim | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549676 | Chatham Orthopaedic Asc, LLC | Clinic/Center | 4425 Paulsen St Bldg B2nd, Savannah, GA 31405-3662 | 2018-02-22 |
| 1184976599 | Savannah Foot and Ankle Surgery Center LLC | Clinic/Center | 310 Eisenhower Dr Ste 7, Savannah, GA 31406-2632 | 2012-10-09 |
| 1679792931 | Georgette Backus Bragg | Clinic/Center | 101 Egret Pt, Savannah, GA 31405-8111 | 2007-04-25 |
| 1437242211 | Georgia Center for Digestive Diseases, LLC | Clinic/Center | 501 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-10-02 |
| 1730170564 | Savannah Partners, LLC | Clinic/Center | 13040 Abercorn Street, Suite 2, Savannah, GA 31419 | 2005-11-01 |
| 1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
| 1457892986 | Savannah Endoscopy Center, LLC | Clinic/Center | 1139 Lexington Ave, Suite B, Savannah, GA 31404-5502 | 2017-03-16 |
| 1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
| 1982044707 | Southeast Spine Center, LLC | Clinic/Center | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2013-06-25 |
| 1194068478 | South East Spone Care & Pain Mgmt | Clinic/Center | 7450 Skidaway Rd, Suite B, Savannah, GA 31406 | 2013-04-04 |
| Find all providers in SAVANNAH | ||||
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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.