VISION SOURCE - PROFESSIONAL EYE CARE
NPI 1225199979
Optometrist in Statesboro, GA

Q: What is Southeastern Eye Clinic PC's NPI number?

The NPI number for Southeastern Eye Clinic PC is 1225199979. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Vision Source - Professional Eye Care.

Q: What is Southeastern Eye Clinic PC's specialty?

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

Active since December 13, 2006

214 SAVANNAH AVE, STATESBORO, GA 30458(912) 764-5609(912) 764-7786 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Vision Source - Professional Eye Care NPPES

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

VISION SOURCE - PROFESSIONAL EYE CARE (NPI 1225199979) is a healthcare organization registered as an optometrist in Statesboro, Georgia and active in the NPI registry since December 2006. The organization lists Horace E Deal, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1225199979

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSOUTHEASTERN EYE CLINIC PC

Location Address214 SAVANNAH AVEStatesboro, GA 30458-5165

Mailing Address214 Savannah AveStatesboro, GA 30458-5165 · (912) 764-5609 · Fax (912) 764-7786

Phone(912) 764-5609

Fax(912) 764-7786

Organization SubpartNo

Authorized OfficialHorace E DealOwner, Provider · (912) 764-5609

Enumeration DateDecember 13, 2006

Last NPPES UpdateJune 24, 2024

NPPES CertifiedJune 24, 2024

✔ NPI 1225199979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in GA · OPTO01603

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.

214 SAVANNAH AVE, Statesboro, GA 30458

Open in Google Maps ↗

Other Names 1

Doing Business AsVision Source - Professional Eye Care

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DYLAN PIETTE OD

Optometrist

214 SAVANNAH AVE
STATESBORO, GA 30458

Bulloch County (912) 764-5609

DR. HORACE E DEAL OD

Optometrist

214 SAVANNAH AVE
STATESBORO, GA 30458

Bulloch County (912) 764-5609

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 Southeastern Eye Clinic PC's NPI number?

The NPI number for Southeastern Eye Clinic PC is 1225199979. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Vision Source - Professional Eye Care.

Where is Southeastern Eye Clinic PC located?

Southeastern Eye Clinic PC is located at 214 Savannah Ave, Statesboro, GA 30458. The listed phone number is (912) 764-5609.

What is Southeastern Eye Clinic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeastern Eye Clinic PC was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.