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GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
NPI 1629222583
Ophthalmology in Claxton, GA

Active since November 05, 2008
109 S DUVAL ST, CLAXTON, GA 30417(912) 739-4031(912) 739-0373 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Eye Institute Of The Southeast, Llc NPPES

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

GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC (NPI 1629222583) is a healthcare organization registered as an ophthalmology in Claxton, Georgia and active in the NPI registry since November 2008. The organization lists Kathy Hegan, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1629222583
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameGEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Location Address109 S DUVAL STClaxton, GA 30417-2029
Mailing Address4720 Waters AveSavannah, GA 31404-6292 · (912) 354-4800
Phone(912) 739-4031
Fax(912) 739-0373
Organization SubpartYes
Authorized OfficialKathy HeganPractice Administrator · 91262695929
Enumeration DateNovember 5, 2008
Last NPPES UpdateOctober 10, 2012
✔ NPI 1629222583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
Also ListedOptometristTaxonomy 152W00000X
109 S DUVAL ST, Claxton, GA 30417
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Other Identifiers 4

OtherDAG976SC · Medicaid Od
Medicare PIN511G701032GA
Medicare NSC6150410002GA
OtherGPA977SC · Medicaid Md

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 2

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

BETHANY HOSPICE AND PALLIATIVE CARE OF COASTAL GEORGIA, LLC
Hospice Care, Community Based
109 S DUVAL ST
CLAXTON, GA 30417
Evans County (912) 739-0058
THOMAS B DUNHAM OD
Optometrist
109 S DUVAL ST
CLAXTON, GA 30417
Evans County (912) 739-4031

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 Georgia Eye Institute Of The Southeast, LLC's NPI number?

The NPI number for Georgia Eye Institute Of The Southeast, LLC is 1629222583. It was assigned to this organization in the NPPES registry on November 5, 2008.

Where is Georgia Eye Institute Of The Southeast, LLC located?

Georgia Eye Institute Of The Southeast, LLC is located at 109 S Duval St, Claxton, GA 30417. The listed phone number is (912) 739-4031.

What is Georgia Eye Institute Of The Southeast, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Georgia Eye Institute Of The Southeast, LLC was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.