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EAST GA REGIONAL EYE CENTER
NPI 1790837706
Specialist in Statesboro, GA

Active since January 18, 2007
21 N ZETTEROWER AVE, STATESBORO, GA 30458(912) 764-6357(912) 764-2192 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Ga Regional Eye Center NPPES

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

EAST GA REGIONAL EYE CENTER (NPI 1790837706) is a healthcare organization registered as a specialist in Statesboro, Georgia and active in the NPI registry since January 2007. The organization lists Jack Robert Tenzel, President, as its authorized official.

NPPES Registry Identity

NPI1790837706
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAST GA REGIONAL EYE CENTER
Location Address21 N ZETTEROWER AVEStatesboro, GA 30458-7142
Mailing Address21 N Zetterower AveStatesboro, GA 30458-7142 · (912) 764-6357 · Fax (912) 764-2192
Phone(912) 764-6357
Fax(912) 764-2192
Organization SubpartNo
Authorized OfficialJack Robert TenzelPresident · (912) 764-6357
Enumeration DateJanuary 18, 2007
Last NPPES UpdateOctober 18, 2007
✔ NPI 1790837706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 045642
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.
21 N ZETTEROWER AVE, Statesboro, GA 30458
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Other Identifiers 1

Medicare ID-Type UnspecifiedGRP7565GA

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

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.

PHILIP L BERTUCCI,MD,LLC
Durable Medical Equipment & Medical Supplies
21 N ZETTEROWER AVE
STATESBORO, GA 30458
Bulloch County (912) 764-7010
EAST GA REGIONAL EYE CENTER
Specialist
21 N ZETTEROWER AVE
STATESBORO, GA 30458
Bulloch County (912) 764-6357

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 East Ga Regional Eye Center's NPI number?

The NPI number for East Ga Regional Eye Center is 1790837706. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is East Ga Regional Eye Center located?

East Ga Regional Eye Center is located at 21 N Zetterower Ave, Statesboro, GA 30458. The listed phone number is (912) 764-6357.

What is East Ga Regional Eye Center'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 East Ga Regional Eye Center was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.