Organization
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Active
Parent organization
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Authorized official
KATHY HEGAN (PRACTICE ADMINISTRARTOR)
(912) 629-5929
Entity
Organization
Contact information
Practice address
104 ANDREWS STREET, SUITE 112, VIDALIA, GA 30474
(912) 537-4447
(912) 537-2743
Mailing address
4720 WATERS AVE, SAVANNAH, GA 31404-6292
(912) 354-4800
(912) 629-5821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
04/17/2015
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