| Sanford Rosenthal, MD | |
|
4720 Waters Ave, Savannah, GA 31404-6292 | |
| (912) 354-4800 | |
| (912) 629-5821 |
| Full Name | Sanford Rosenthal |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 4720 Waters Ave, Savannah, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891734463 | NPI | - | NPPES |
| 582023987006 | Other | CHAMPUS | |
| 000023372C | Medicaid | GA | |
| 511G701032 | Other | GA | MEDICARE GROUP |
| 00023372B | Medicaid | GA | |
| 1891734463 | Other | GA | MEDICARE RAILROAD |
| 450081 | Other | GA | BLUE CROSS BLUE SHIELD |
| GPA977 | Other | SC | MEDICAID GRP. SAV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 011051 (Georgia) | Primary |
| Entity Name | Georgia Eye Institute Of The Southeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700039740 PECOS PAC ID: 0840351458 Enrollment ID: O20081201000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Rosenthal, MD Po Box 102635, Atlanta, GA 30368-2635 Ph: (912) 354-4800 | Sanford Rosenthal, MD 4720 Waters Ave, Savannah, GA 31404-6292 Ph: (912) 354-4800 |
Shari Carney, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4720 Waters Ave, Savannah, GA 31404 Phone: 912-354-4800 Fax: 912-629-5821 | |
Dr. Brandon Fram, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 4720 Waters Ave, Savannah, GA 31404 Phone: 912-354-4800 | |
Dr. Stephanie D Croll, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr, Savannah, GA 31406 Phone: 912-527-5200 Fax: 912-527-5223 | |
Richard Randolph Schulze Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 728 E 67th St, Savannah, GA 31405 Phone: 912-352-3120 Fax: 912-352-1405 | |
Dr. Robin Ray, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4720 Waters Ave, Savannah, GA 31404 Phone: 912-354-4800 Fax: 912-629-5821 | |
Dr. Thomas J Kandl, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4720 Waters Ave, Savannah, GA 31404 Phone: 912-629-5968 Fax: 912-629-5821 | |
Dr. Markesh Kumar Manocha, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4720 Waters Ave, Savannah, GA 31404 Phone: 912-354-4800 Fax: 912-629-5821 |