Jennifer Goodrich Bromley (NPI# 1740487131, PAC ID# 9436337342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1740487131 |
| PAC ID by PECOS | 9436337342 |
| Professional Enrollment ID | I20110623000725 |
| Full Name | Jennifer Goodrich Bromley |
| Organization Legal Name | GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC |
| Address |
605 S Veterans Blvd Glennville GA 30427-1775 |
| Phone Number | 9126544700 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0840351458 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110036 | MEMORIAL UNIVERSITY MEDICAL CENTER |
| 110024 | CANDLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4 Okatie Ctr S Blvd, Suite 102, Bluffton, SC 29909-7530 | 8437053333 | GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC |
| 605 S Veterans Blvd, Glennville, GA 30427-1775 | 9126544700 | GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC |
| 4720 Waters Ave, Savannah, GA 31404-6292 | 9123504800 | GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC |
| Organization Legal Name | GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda T Dang | Optometry | Georgia Eye Institute of The Southeast, LLC | 741 Weeping Willow Dr, Unit A, Hinesville, GA 31313-3912 |
| Ryan W Piche | Optometry | Georgia Eye Institute of The Southeast, LLC | 605 S Veterans Blvd, Glennville, GA 30427-1775 |
| Shawna S Strub | Optometry | Georgia Eye Institute of The Southeast, LLC | 420 Gentilly Pl, Statesboro, GA 30458-5187 |
| Joseph Scuderi | Ophthalmology | Georgia Eye Institute of The Southeast, LLC | 2 E Jackson Blvd, Savannah, GA 31405-5891 |
| Nicholas R Bollin | Optometry | Georgia Eye Institute of The Southeast, LLC | 4720 Waters Ave, Savannah, GA 31404-6292 |
| Kimberly K Hinson | Optometry | Georgia Eye Institute of The Southeast, LLC | 4 Okatie Ctr S Blvd, Suite 102, Bluffton, SC 29909-7530 |
| Samuel Joseph Overstreet Iv | Optometry | Georgia Eye Institute of The Southeast, LLC | 4720 Waters Ave, Savannah, GA 31404-6292 |
| Lyn Oxley | Optometry | Georgia Eye Institute of The Southeast, LLC | 4720 Waters Ave, Savannah, GA 31404-6292 |
| Shari A Carney | Ophthalmology | Georgia Eye Institute of The Southeast, LLC | 4720 Waters Ave, Savannah, GA 31404-6292 |
| Robin Ray | Ophthalmology | Georgia Eye Institute of The Southeast, LLC | 420 Gentilly Pl, Statesboro, GA 30458-5187 |
| Street Address |
605 S VETERANS BLVD |
| City | GLENNVILLE |
| State | GA |
| Zip | 30427-1775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan W Piche | Optometry | Georgia Eye Institute of The Southeast, LLC | 605 S Veterans Blvd, Glennville, GA 30427-1775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria K Griffith | Physical Therapy | South Georgia Therapy Services, P.C. | 104 W Rustin St, Glennville, GA 30427-1805 |
| Kenneth L Durrence | Physical Therapy | South Georgia Therapy Services, P.C. | 104 W Rustin St, Glennville, GA 30427-1805 |
| Lisa Dasher Anderson | Nurse Practitioner | Tattnall Hospital Company LLC | 1000 B N Veterans Blvd, Glennville, GA 30427-8603 |
| City | GLENNVILLE |
| Zip Code | 30427 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GLENNVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jennifer Goodrich Bromley.
| 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.