Georgia Eye Institute Of The Southeast, Llc | |
4720 Waters Ave, Savannah, GA 31404-6292 | |
(912) 354-4800 | |
(912) 629-5821 |
Full Name | Georgia Eye Institute Of The Southeast, Llc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 4720 Waters Ave, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700039740 | NPI | - | NPPES |
DAG976 | Other | SC | MEDICAID OD |
GP5020 | Other | SC | MEDICAID MD- BLUFFTON |
GPA977 | Other | SC | MEDICAID MD |
DA9642 | Other | SC | MEDICAID OD - BLUFFTON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Nicholas R Bollin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003831371 PECOS PAC ID: 6002812328 Enrollment ID: I20070928000352 |
Provider Name | Shawna S Strub |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205240033 PECOS PAC ID: 7416176938 Enrollment ID: I20140916001273 |
Provider Name | William Allen Pearce |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831457555 PECOS PAC ID: 0840570438 Enrollment ID: I20161219001085 |
Provider Name | Rinku Patel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073948212 PECOS PAC ID: 2769769215 Enrollment ID: I20170510001283 |
Provider Name | Shari A Carney |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083617419 PECOS PAC ID: 0143577163 Enrollment ID: I20180723002080 |
Provider Name | Ryan W Piche |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437642543 PECOS PAC ID: 7810249273 Enrollment ID: I20181012000215 |
Provider Name | Thomas J Kandl |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366734147 PECOS PAC ID: 9032424502 Enrollment ID: I20181015001366 |
Provider Name | Heidi E Wise |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982696563 PECOS PAC ID: 9436136900 Enrollment ID: I20191120002318 |
Provider Name | Nicolle Oberlin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972085165 PECOS PAC ID: 7214332402 Enrollment ID: I20210826001099 |
Provider Name | Christopher Jay Richmond |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083052955 PECOS PAC ID: 3072970037 Enrollment ID: I20230606002857 |
Provider Name | Andrea Elizabeth Thomas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760589683 PECOS PAC ID: 6305947615 Enrollment ID: I20231026002544 |
Mailing Address | Practice Location Address |
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Georgia Eye Institute Of The Southeast, Llc Po Box 102635, Atlanta, GA 30368-2635 Ph: (912) 354-4800 | Georgia Eye Institute Of The Southeast, Llc 4720 Waters Ave, Savannah, GA 31404-6292 Ph: (912) 354-4800 |