SOUTH GEORGIA EYE PARTNERS PC
NPI 1669745345
Ophthalmology in Douglas, GA
- Organization
- Ophthalmology
- CLIA Number: 11D0022233
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About SOUTH GEORGIA EYE PARTNERS PC
This page provides the complete NPI Profile along with additional information for South Georgia Eye Partners Pc, a provider established in Douglas, Georgia operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1669745345 assigned on February 2012. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Scott H Petermann Md (Owner)
- NPI
- 1669745345 Verify this NPI
- Provider Name
- SOUTH GEORGIA EYE PARTNERS PC
- Entity Type
- Organization
- Location Address
- 200 DOCTORS DR SUITE 290 DOUGLAS, GA 31533
- Location Phone
- (912) 393-0055
- Location Fax
- (912) 384-5976
- Mailing Address
- 4380 KINGS WAY VALDOSTA, GA 31602
- Mailing Phone
- (229) 244-2068
- Mailing Fax
- (229) 244-2850
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-11-2012
- Last Update Date
- 02-11-2012
- Code Navigator
Ophthalmologists like South Georgia Eye Partners Pc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 2 | 152WC0802X | Eye and Vision Services Providers | Optometrist | |
| 3 | 152WP0200X | Eye and Vision Services Providers | Optometrist | |
| 4 | 152WS0006X | Eye and Vision Services Providers | Optometrist | |
| 5 | 332H00000X | Suppliers | Eyewear Supplier |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0022233
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. KATHLEEN E. COLEMAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to South Georgia Eye Partners Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
DOUGLAS, GA 31533
DOUGLAS, GA 31533
DOUGLAS, GA 31533
DOUGLAS, GA 31533
DOUGLAS, GA 31533
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669745345, enumerated as an "organization" on February 11, 2012.
The provider is located at 200 DOCTORS DR SUITE 290 DOUGLAS, GA 31533 and the phone number is (912) 393-0055.
Ophthalmology with taxonomy code 207W00000X.
