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
300 DURDEN ST, VIDALIA, GA 30474-4606
(912) 537-4447
(912) 537-2743
Mailing address
PO BOX 931989, ATLANTA, GA 31193-0001
(912) 537-4447
(912) 537-2743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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