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Contact Information

GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
4 OKATIE CENTER BLVD. STE. 102
OKATIE, SC29909
 Phone: 843-705-3333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GEORGIA EYE INSTITUTE OF THE SOUTHEAST LLC · (Female)

NPI # 1750535621
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2008
Last updated 07/16/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers
  • SC Other GP5020 MEDICAID MD
  • SC Other DA9642 MEDICAID OD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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