Georgia Eye Institute, Inc.

NPI #1932276078 in Statesboro, Georgia

Provider Information

NPI Number: 1932276078
Entity Type: Organization
Organization Name: Georgia Eye Institute, Inc.
Primary Specialty: Optometrist
Enumeration Date: Nov 30, 2006
Last Updated: Jan 11, 2008

Practice Location

Address: 420 GENTILLY PL
City: Statesboro
State: Georgia
ZIP Code: 30458-5187
Phone: (912) 489-3606

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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