RETINA INSTITUTE OF THE SOUTHEAST, P.C. (NPI# 1932707627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932707627 |
| Entity Type | Organization |
| Organization Name | RETINA INSTITUTE OF THE SOUTHEAST, P.C. |
| Practice Address |
115 Dogwood Dr Waynesboro GA 30830-5448 |
| Mailing Address |
892 Deercrest Cir Evans GA 30809-4228 |
| Practice Telephone | 3129336959 |
| Mailing Telephone | 3129336959 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DR. PREETI POLEY (OWNER) |
| Authorized Official Telephone | 3129336959 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| Street Address |
115 DOGWOOD DR |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-5448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993081 | Virginia Retina Consultants, Plc | Ophthalmology | 540 Lew Dewitt Blvd, Suite 5, Waynesboro, VA 22980-1665 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162155 | Gregory Dongkyu Lee | Ophthalmology | 990 Sanders Rd Ste 100, Cumming, GA 30041-5960 | 2011-06-23 |
| 1194922765 | Sohail Khan | Ophthalmology | 1701 Magnolia Way Ste 201, Augusta, GA 30909-9485 | 2007-06-28 |
| 1346453685 | Athens Retina Center PC | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2007-05-07 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1811125610 | Victor Thomas Copeland | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2009-06-30 |
| 1447461769 | Arpan Kumar Bachhawat | Ophthalmology | 160 Water Tower Ct, Macon, GA 31210-4873 | 2007-05-25 |
| 1891913380 | Diego Gabriel Espinosa-heidmann | Ophthalmology | 1120 15th Street, Ba 2320, Augusta, GA 30912 | 2007-04-23 |
| City | WAYNESBORO |
| Zip Code | 30830 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.