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
Plus 1 secondary
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
1
In the 31% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
109 S Duval St
Claxton, GA 304172029
Mailing address
4720 Waters Ave
Savannah, GA 314046292
Authorized official
Kathy Hegan
Practice Administrator
📞 91262695929
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Thomas Dunham, OD Optometrist NPI 1568401107
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...
-
OptometristDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | GPA977 | MEDICAID MD |
| 01 (SC) | DAG976 | MEDICAID OD |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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