GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC (NPI# 1992058234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992058234 |
| Entity Type | Organization |
| Organization Name | GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC |
| Practice Address |
3303 Glynn Avenue Brunswick GA 31520-4406 |
| Mailing Address |
4720 Waters Ave Savannah GA 31404-6292 |
| Practice Telephone | 9123544800 |
| Practice Fax Number | 9126295821 |
| Mailing Telephone | 9123544800 |
| Mailing Fax Number | 9126295821 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | MRS. KATHY HEGAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9126295929 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124519954 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 1000 Towne Center Blvd Ste 806, Pooler, GA 31322-4070 | 2018-05-29 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1639410756 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 741 Weeping Willow Drive, Hinesville, GA 31313 | 2013-03-14 |
| 1417200148 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 80 Baylor Way, Bluffton, SC 29910-8902 | 2012-10-18 |
| 1144474016 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 6162 Hwy 21 South, Rincon, GA 31326-5164 | 2008-11-05 |
| 1619121589 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 2429 Us Highway 17, Richmond Hill, GA 31324-3397 | 2008-11-05 |
| 1750535621 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 4 Okatie Center Blvd. Ste. 102, Okatie, SC 29909 | 2008-11-05 |
| 1508119207 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2012-10-18 |
| 1386997013 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 198 Sw Broad St, Jesup, GA 31545-1101 | 2012-10-18 |
| 1275885279 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 445 S Main St, Suite 104, Hinesville, GA 31313-4333 | 2012-10-15 |
| Street Address |
3303 GLYNN AVENUE |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1588726335 | Mario Forcina | Ophthalmology | 3116 Shrine Rd, Brunswick, GA 31520-4745 | 2006-12-15 |
| 1669480513 | John Edwin Imhoff | Ophthalmology | 3215 Shrine Rd, Ste 6, Brunswick, GA 31520 | 2006-08-04 |
| 1740202621 | Gregory George Gensheimer | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2006-07-23 |
| 1588629976 | Anthony J Cirino | Ophthalmology | 3898 Center Rd, Brunswick, OH 44212-6603 | 2006-04-19 |
| 1912973264 | Bonnie J Brooks | Ophthalmology | 3303 A Glynn Avenue, Brunswick, GA 31520 | 2006-02-27 |
| 1457357519 | Walter J Schuyler | Ophthalmology | 331 Maine St Ste 1, Brunswick Eye Care Associates, Brunswick, ME 04011-3359 | 2005-06-23 |
| 1104252238 | Midcoast Eye Associates | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2013-09-20 |
| 1649516196 | Mario L Forcina Jr Md PC | Ophthalmology | 3116 Shrine Rd, Brunswick, GA 31520-4745 | 2013-01-02 |
| 1013030378 | Kurt Kelley | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2007-04-09 |
| 1083744429 | Marybeth Dunston Ford | Ophthalmology | 8 Mason St, Brunswick, ME 04011-1514 | 2007-03-06 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC.
| 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.