Georgia Eye Institute Of The Southeast, Llc | |
4720 Waters Ave, Savannah, GA 31404-6292 | |
(912) 354-4800 | |
(912) 629-5821 |
Full Name | Georgia Eye Institute Of The Southeast, Llc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 4720 Waters Ave, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700039740 | NPI | - | NPPES |
DAG976 | Other | SC | MEDICAID OD |
GP5020 | Other | SC | MEDICAID MD- BLUFFTON |
GPA977 | Other | SC | MEDICAID MD |
DA9642 | Other | SC | MEDICAID OD - BLUFFTON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | William J Degenhart |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699714139 PECOS PAC ID: 6103899406 Enrollment ID: I20040816000550 |
Provider Name | James G Beisel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336113117 PECOS PAC ID: 8224080338 Enrollment ID: I20050303000948 |
Provider Name | James Parker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356380927 PECOS PAC ID: 4880651108 Enrollment ID: I20050622000555 |
Provider Name | Nicholas R Bollin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003831371 PECOS PAC ID: 6002812328 Enrollment ID: I20070928000352 |
Provider Name | Elizabeth Miller |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447299011 PECOS PAC ID: 5597854554 Enrollment ID: I20071129000153 |
Provider Name | Joseph R Gussler |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437198983 PECOS PAC ID: 5991866519 Enrollment ID: I20081201000699 |
Provider Name | Sanford I Rosenthal |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891734463 PECOS PAC ID: 3678635356 Enrollment ID: I20081215000746 |
Provider Name | David D Kim |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508805052 PECOS PAC ID: 7719048339 Enrollment ID: I20081215000761 |
Provider Name | Christopher Hinson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376582916 PECOS PAC ID: 8426119041 Enrollment ID: I20081215000777 |
Provider Name | Robert T King |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952340408 PECOS PAC ID: 2365542818 Enrollment ID: I20081215000785 |
Provider Name | Matthew S Deich |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740236249 PECOS PAC ID: 9739289869 Enrollment ID: I20081215000789 |
Provider Name | Robin Ray |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306006226 PECOS PAC ID: 9234280116 Enrollment ID: I20090707000011 |
Provider Name | Markesh K Manocha |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396744181 PECOS PAC ID: 5395885859 Enrollment ID: I20091215000333 |
Provider Name | Judith Piros |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992720288 PECOS PAC ID: 5799763611 Enrollment ID: I20100625000626 |
Provider Name | Joseph Reeves |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649299389 PECOS PAC ID: 3971581893 Enrollment ID: I20100714000394 |
Provider Name | Lyn Oxley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073688115 PECOS PAC ID: 1850405754 Enrollment ID: I20101118000186 |
Provider Name | Jennifer Goodrich Bromley |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740487131 PECOS PAC ID: 9436337342 Enrollment ID: I20110623000725 |
Provider Name | Samuel Joseph Overstreet |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063457547 PECOS PAC ID: 8527061373 Enrollment ID: I20140127000274 |
Provider Name | Shawna S Strub |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205240033 PECOS PAC ID: 7416176938 Enrollment ID: I20140916001273 |
Provider Name | William Allen Pearce |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831457555 PECOS PAC ID: 0840570438 Enrollment ID: I20161219001085 |
Provider Name | Rinku Patel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073948212 PECOS PAC ID: 2769769215 Enrollment ID: I20170510001283 |
Provider Name | Shari A Carney |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083617419 PECOS PAC ID: 0143577163 Enrollment ID: I20180723002080 |
Provider Name | Ryan W Piche |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437642543 PECOS PAC ID: 7810249273 Enrollment ID: I20181012000215 |
Provider Name | Thomas J Kandl |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366734147 PECOS PAC ID: 9032424502 Enrollment ID: I20181015001366 |
Provider Name | Heidi E Wise |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982696563 PECOS PAC ID: 9436136900 Enrollment ID: I20191120002318 |
Provider Name | Nicolle Oberlin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972085165 PECOS PAC ID: 7214332402 Enrollment ID: I20210826001099 |
Provider Name | Christopher Jay Richmond |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083052955 PECOS PAC ID: 3072970037 Enrollment ID: I20230606002857 |
Provider Name | Andrea Elizabeth Thomas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760589683 PECOS PAC ID: 6305947615 Enrollment ID: I20231026002544 |
Mailing Address | Practice Location Address |
---|---|
Georgia Eye Institute Of The Southeast, Llc Po Box 102635, Atlanta, GA 30368-2635 Ph: (912) 354-4800 | Georgia Eye Institute Of The Southeast, Llc 4720 Waters Ave, Savannah, GA 31404-6292 Ph: (912) 354-4800 |