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Organization

GEORGIA EYE INSTITUTE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization

Contact information

Practice address
206 MAPLE DR, VIDALIA, GA 30474-8907
(912) 537-2020
(912) 350-4821
Mailing address
PO BOX 931989, ATLANTA, GA 31193-0001
(912) 350-4800
(912) 350-4821

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA
207W00000X
Ophthalmology Physician
GA

Other

Enumeration date
05/10/2007
Last updated
09/11/2025
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