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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
ERICA LEIGH MORELAND (DIRECTOR, REVENUE CYCLE)
(912) 354-4800
Entity
Organization

Contact information

Practice address
198 SW BROAD ST, JESUP, GA 31545-1101
(912) 352-7941
(912) 352-7946
Mailing address
198 SOUTHWEST BROAD STREET, JESUP, GA 31545-1101
(912) 358-7941
(912) 352-7946

Taxonomy

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

Other

Enumeration date
10/18/2012
Last updated
07/16/2025
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