NPI age
20 years
Enumerated 2006-03-10
● Active Type 2 · Organization
Southern Eye Clinic P.c.
Southern Eye Clinic P.c. 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
Tillery
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 807 active ophthalmology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1306 Troupe St
Augusta, GA 309044755
Mailing address
1306 Troupe St
Augusta, GA 309044755
Authorized official
William V Tillery, M.D.
President
📞 7067361437
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jessica Davis, PA-C Physician Assistant NPI 1144473976
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southern Eye Center
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.