Organization
SOUTHERN EYE CENTER, PC
Active
Other names
SOUTHERN EYE CENTER, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOSEPH EANES SR. MD (PRESIDENT)
(229) 247-2020
Entity
Organization
Contact information
Practice address
2310 N PATTERSON ST, SUITE B, VALDOSTA, GA 31602-2568
(229) 247-2020
(229) 247-5600
Mailing address
2310 N PATTERSON ST, SUITE B, VALDOSTA, GA 31602-2568
(229) 247-2020
(229) 247-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT002069
GA
174400000X
Specialist
Primary
025970
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/24/2006
Last updated
11/01/2011
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