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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

NPI # 1750535621
LBN Legal business name GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Authorized official ERICA MORELAND - (DIRECTOR, REVENUE CYCLE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/05/2008
Last updated 07/16/2025 - About 11 months ago
Identifiers
SC Other GP5020 MEDICAID MD
SC Other DA9642 MEDICAID OD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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