Organization
SOUTHEAST EYE GROUP LLC
Active
Parent organization
GEORGIA VISION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA VISION CENTER
Authorized official
JOSE MATIAS ARENCIBIA O.D. (PRESIDENT/OPTOMETRIST)
(706) 896-3303
Entity
Organization
Contact information
Practice address
17 HOMETOWN WAY, BLAIRSVILLE, GA 30512
(706) 896-3303
(706) 896-9485
Mailing address
17 HOMETOWN WAY, BLAIRSVILLE, GA 30512
(706) 896-3303
(706) 896-9485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
08/04/2020
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