NPI age
17 years
Enumerated 2008-11-05
● Active Type 2 · Organization
Subpart
Georgia Eye Institute Of The Southeast, Llc
Georgia Eye Institute Of The Southeast, Llc is 1 of 807 ophthalmology organizations in Georgia.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hegan
Practice Administrator
Last NPPES update
2012-10-10
Source: monthly bulk 2026-05
How this organization compares
Across 807 active ophthalmology providers in Georgia.
NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
300 Durden St
Vidalia, GA 304744606
Mailing address
4720 Waters Ave
Savannah, GA 314046292
Authorized official
Kathy Hegan
Practice Administrator
📞 9126295929
Specialties
-
Ophthalmology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | DAG976 | MEDICAID OD |
| 01 (SC) | GPA977 | MEDICAID MD |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Georgia Eye Institute Of The Southeast, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.