Organization
SEASIDE OPHTHALMOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA J CLARK (OFFICE MANAGER)
(912) 466-9500
Entity
Organization
Contact information
Practice address
3303A GLYNN AVE, BRUNSWICK, GA 31520-4406
(912) 466-9500
(912) 466-9922
Mailing address
3303A GLYNN AVE, BRUNSWICK, GA 31520-4406
(912) 466-9500
(912) 466-9922
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
052897
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469602319A
—
GA
Enumeration date
12/27/2006
Last updated
08/04/2025
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