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
4 OKATIE CENTER BLVD. S, BLDG. 6 SUITE 102, BLUFFTON, SC 29909-7515
(843) 705-3333
(843) 705-3334
Mailing address
PO BOX 931989, ATLANTA, GA 31193-0001
(843) 705-3333
(843) 705-3334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
03/29/2007
Last updated
08/13/2008
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