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SOUTHERN EYE CENTER, PC
NPI 1316020043
Specialist in Valdosta, GA

Active since October 24, 2006
2310 N PATTERSON ST, SUITE B, VALDOSTA, GA 31602(229) 247-2020(229) 247-5600 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Eye Center, Pc NPPES

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

SOUTHERN EYE CENTER, PC (NPI 1316020043) is a healthcare organization registered as a specialist in Valdosta, Georgia and active in the NPI registry since October 2006. The organization lists Mark Joseph Eanes, President, as its authorized official.

NPPES Registry Identity

NPI1316020043
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN EYE CENTER, PC
Location Address2310 N PATTERSON ST, SUITE BValdosta, GA 31602-2568
Mailing Address2310 N Patterson St, Suite BValdosta, GA 31602-2568 · (229) 247-2020 · Fax (229) 247-5600
Phone(229) 247-2020
Fax(229) 247-5600
Organization SubpartNo
Authorized OfficialMark Joseph EanesPresident · (229) 247-2020
Enumeration DateOctober 24, 2006
Last NPPES UpdateNovember 1, 2011
✔ NPI 1316020043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 025970
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOptometristTaxonomy 152W00000X · License OPT002069 (GA)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2310 N PATTERSON ST, Valdosta, GA 31602
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Other Names 1

Doing Business AsSouthern Eye Center, Pc

Other Identifiers 2

Medicare NSC0686710001GA
Medicare ID-Type UnspecifiedGRP343GA · Georgia Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

KELLY DELAYNE JONES LCSW
Social Worker (Clinical)
2310 N PATTERSON ST, SUITE G
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
STEPHANY ANN NORRIS LPC
Counselor (Professional)
2310 N PATTERSON ST, SUITE G
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
SOUTH GEORGIA ORTHOPEDICS, P.C.
Clinic/Center (Medical Specialty)
2310 N PATTERSON ST, BLD. D
VALDOSTA, GA 31602
Lowndes County (229) 247-2482
DR. RAYMOND DERRY CROSBY DO
Orthopaedic Surgery
2310 N PATTERSON ST, BLDG D
VALDOSTA, GA 31602
Lowndes County (229) 247-2482
HUNTER BURTON FLETCHER
Nurse Anesthetist, Certified Registered
2310 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 244-6852
JUSTIN MARK BOOTH AA
Anesthesiologist Assistant
2310 N PATTERSON ST, BLDG C
VALDOSTA, GA 31602
Lowndes County (229) 244-6852
DUSTIN GOFF CRNA
Nurse Anesthetist, Certified Registered
2310 N PATTERSON ST, SUITE C
VALDOSTA, GA 31602
Lowndes County (229) 244-6852
DR. JULIO RAFFAEL MEDINA M.D.
Anesthesiology
2310 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 244-6842

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 Southern Eye Center, PC's NPI number?

The NPI number for Southern Eye Center, PC is 1316020043. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Southern Eye Center, PC located?

Southern Eye Center, PC is located at 2310 N Patterson St Suite B, Valdosta, GA 31602. The listed phone number is (229) 247-2020.

What is Southern Eye Center, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southern Eye Center, PC was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.