Georgia Eye Institute, Inc.

NPI #1710054952 in Claxton, Georgia

Provider Information

NPI Number: 1710054952
Entity Type: Organization
Organization Name: Georgia Eye Institute, Inc.
Primary Specialty: Optometrist
Enumeration Date: Nov 30, 2006
Last Updated: Mar 11, 2008

Practice Location

Address: 109 SOUTH DUVAL ST
City: Claxton
State: Georgia
ZIP Code: 30417-2029
Phone: (912) 739-4031

Authorized Official

Name: ROBIN J. MADDOX
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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