Organization
GEORGIA EYE INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
2429 HWY 17 SOUTH, RICHMOND HILL, GA 31324
(912) 756-6091
(912) 756-6098
Mailing address
PO BOX 931989, ATLANTA, GA 31193-0001
(912) 756-6091
(912) 756-6098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
12/01/2006
Last updated
01/11/2008
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