SOUTHEAST EYE GROUP LLC
NPI 1003456229
Optometrist in Blairsville, GA

Active since January 15, 2020
17 HOMETOWN WAY, BLAIRSVILLE, GA 30512(706) 896-3303(706) 896-9485 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2020, Jan 15, 2020 (2 updates tracked since 2020).

About Southeast Eye Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST EYE GROUP LLC (NPI 1003456229) is a healthcare organization registered as an optometrist in Blairsville, Georgia and active in the NPI registry since January 2020. The organization lists Jose Matias Arencibia, President/optometrist, as its authorized official.

NPPES Registry Identity

NPI1003456229
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHEAST EYE GROUP LLC
Location Address17 HOMETOWN WAYBlairsville, GA 30512
Mailing Address17 Hometown WayBlairsville, GA 30512 · (706) 896-3303 · Fax (706) 896-9485
Fax(706) 896-9485
Organization SubpartYesParent: Georgia Vision Center
Authorized OfficialJose Matias ArencibiaPresident/optometrist · (706) 896-3303
Enumeration DateJanuary 15, 2020
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1003456229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
17 HOMETOWN WAY, Blairsville, GA 30512

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Eye Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southeast Eye Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1104440379
17 HOME TOWN WAY
Blairsville, GA 30512
(706) 896-3303
✔ PECOS1.6 mi
Optometry
NPI 1316615743
17 HOME TOWN WAY
Blairsville, GA 30512
(706) 487-8366
✔ PECOS1.6 mi
Optometry
NPI 1841264249
344 S MAIN ST
Hiawassee, GA 30546
(706) 896-3303
✔ PECOS✔ Accepts Medicare13 mi
Optometry
NPI 1669491437
50 EARL ST SUITE A
Clayton, GA 30525
(706) 782-3535
✔ PECOS32 mi
Optometry
NPI 1164154324
21 LEGACY POINT
Clayton, GA 30525
(706) 782-3535
✔ PECOS33 mi
Optometry
NPI 1841864725
137 E 1ST ST
Morehead, KY 40351
(606) 783-1575
✔ PECOS230 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Eye Group LLC's NPI number?

The NPI number for Southeast Eye Group LLC is 1003456229. It was assigned to this organization in the NPPES registry on January 15, 2020.

Where is Southeast Eye Group LLC located?

Southeast Eye Group LLC is located at 17 Hometown Way, Blairsville, GA 30512. The listed phone number is (706) 896-3303.

What is Southeast Eye Group LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Southeast Eye Group LLC enrolled in Medicare?

Yes. Southeast Eye Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Eye Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Southeast Eye Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Eye Group LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Southeast Eye Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Eye Group LLC was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.