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SEASIDE OPHTHALMOLOGY, INC
NPI 1427113554
Ophthalmology in Brunswick, GA

Active since December 27, 2006CLIA Certified · 3 labs
3303A GLYNN AVE, BRUNSWICK, GA 31520(912) 466-9500(912) 466-9922 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Feb 16, 2023 (2 updates tracked since 2023).

About Seaside Ophthalmology, Inc NPPES

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

SEASIDE OPHTHALMOLOGY, INC (NPI 1427113554) is a healthcare organization registered as an ophthalmology in Brunswick, Georgia and active in the NPI registry since December 2006. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Lisa J Clark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1427113554
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSEASIDE OPHTHALMOLOGY, INC
Location Address3303A GLYNN AVEBrunswick, GA 31520-4406
Mailing Address3303a Glynn AveBrunswick, GA 31520-4406 · (912) 466-9500 · Fax (912) 466-9922
Phone(912) 466-9500
Fax(912) 466-9922
Organization SubpartNo
Authorized OfficialLisa J ClarkOffice Manager · (912) 466-9500
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1427113554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 052897
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3303A GLYNN AVE, Brunswick, GA 31520
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Secondary Practice Locations 2

Location 11891 Hwy 40 E Ste 1102Kingsland, GA 31548-6573 · Phone (912) 576-4466 · Fax (912) 576-4472
Location 2101 Darling AveWaycross, GA 31501-5219 · Phone (912) 584-0047 · Fax (912) 490-1498

Other Identifiers 1

Medicaid469602319AGA

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2143131

Seaside Ophthalmology, Inc · Waycross, GA
Active · expires Jan 24, 2028
CLIA Number11D2143131
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorBonnie J. Brooks
Laboratory Phone(912) 584-0047
Laboratory LocationSeaside Ophthalmology, Inc101 Darling Avenue, Waycross, GA 31501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2143132

Seaside Ophthamology, Inc · Kingsland, GA
Active · expires Jan 24, 2028
CLIA Number11D2143132
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorBonnie J. Brooks
Laboratory Phone(912) 576-4466
Laboratory LocationSeaside Ophthamology, Inc1891 Ga Hwy 40 East, Kingsland, GA 31548
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2120626

Seaside Ophthalomology, Inc · Brunswick, GA
Active · expires Oct 19, 2026
CLIA Number11D2120626
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorBonnie Brooks
Laboratory Phone(912) 466-9500
Laboratory LocationSeaside Ophthalomology, Inc3303 Glynn Avenue, Brunswick, GA 31520
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. JOHN SHREVE MINKOWSKI MD
Ophthalmology
3303A GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-9500
SARA E PHELPS O.D.
Optometrist
3303A GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-9500
DR. TARA LEIGH JORDAN O.D.
Optometrist
3303A GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-9500
DR. ANGELA ROYSTER SCOTT MD
Ophthalmology
3303A GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-9500
DR. BONNIE J BROOKS M.D.
Ophthalmology
3303A GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-9500

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 Seaside Ophthalmology, Inc's NPI number?

The NPI number for Seaside Ophthalmology, Inc is 1427113554. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Seaside Ophthalmology, Inc located?

Seaside Ophthalmology, Inc is located at 3303A Glynn Ave, Brunswick, GA 31520. The listed phone number is (912) 466-9500.

What is Seaside Ophthalmology, Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Seaside Ophthalmology, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Seaside Ophthalmology, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Seaside Ophthalmology, Inc 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 Seaside Ophthalmology, Inc was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.