Organization
SOUTH GEORGIA EYE PARTNERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT H PETERMANN M.D. (OWNER)
(229) 244-2068
Entity
Organization
Contact information
Practice address
4120 N VALDOSTA RD STE A, VALDOSTA, GA 31602-4973
(229) 244-2068
Mailing address
4380 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 244-2068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257511765A
—
GA
01
—
DQ3695
RAILROAD MEDICARE
GA
Enumeration date
03/08/2010
Last updated
04/05/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up