GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
NPI 1689828543
Ophthalmology in Statesboro, GA

Active since November 05, 2008
420 GENTILLY PL, STATESBORO, GA 30458(912) 489-3606(912) 489-1513 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 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 1689828543) is a healthcare organization registered as an ophthalmology in Statesboro, Georgia and active in the NPI registry since November 2008. The organization lists Erica Leigh Moreland, Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1689828543
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameGEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Location Address420 GENTILLY PLStatesboro, GA 30458-5187
Mailing Address4720 Waters AveSavannah, GA 31404-6292 · (912) 354-4800 · Fax (912) 629-5821
Fax(912) 489-1513
Organization SubpartNo
Authorized OfficialErica Leigh MorelandDirector, Revenue Cycle · (912) 354-4800
Enumeration DateNovember 5, 2008
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1689828543 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
420 GENTILLY PL, Statesboro, GA 30458

Other Identifiers 2

OtherGAP977SC · Medicaid Md
OtherDAG976SC · Medicaid Od

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Georgia Eye Institute Of The Southe carries, from the Medicare DMEPOS supplier directory.

Georgia Eye Institute Of The Southe

DMEPOS supplier · Statesboro, GAOperated by Georgia Eye Institute Of The Southeast, LLC

Accepts Medicare assignment

Georgia Eye Institute Of The Southe agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20554649
Medicare Participant SinceDecember 1, 2008
Supplier Location420 Gentilly PlStatesboro, GA 30458
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Optometrist
420 GENTILLY PL
STATESBORO, GA 30458
Optometrist
420 GENTILLY PL
STATESBORO, GA 30458

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 1689828543. 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 420 Gentilly Pl, Statesboro, GA 30458. The listed phone number is (912) 489-3606.

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

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

Does Georgia Eye Institute Of The Southeast, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Georgia Eye Institute Of The Southe accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Georgia Eye Institute Of The Southeast, LLC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.