Mark Eanes (NPI# 1205947496, PAC ID# 3779697776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1205947496 |
| PAC ID by PECOS | 3779697776 |
| Professional Enrollment ID | I20120229000766 |
| Full Name | Mark Eanes |
| Organization Legal Name | SOUTHERN EYE CENTER, PC |
| Address |
2310 N Patterson St B Valdosta GA 31602-2500 |
| Phone Number | 2292472020 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1982 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3779602057 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2310 N Patterson St B, Valdosta, GA 31602-2500 | 2292472020 | SOUTHERN EYE CENTER, PC |
| Organization Legal Name | SOUTHERN EYE CENTER, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Jason Haluka | Optometry | Southern Eye Center, PC | 2310 N Patterson St B, Valdosta, GA 31602-2500 |
| Street Address |
2310 N PATTERSON ST B |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Jason Haluka | Optometry | Southern Eye Center, PC | 2310 N Patterson St B, Valdosta, GA 31602-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | VALDOSTA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Mark Eanes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.