Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Eye Institute of the Southeast, LLC

Organization Optometrist · NPI 1386997013

Georgia Eye Institute of the Southeast, LLC is an Optometrist in Jesup, Georgia. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

198 SW Broad St
Jesup, GA 31545-1101
Phone: (912) 352-7941
Fax: (912) 352-7946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1386997013
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Eye Institute of the Southeast, LLC
Authorized official Erica Moreland — Director, Revenue Cycle · (912) 354-4800
NPI enumeratedOctober 18, 2012
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address198 Southwest Broad Street, Jesup, GA 31545-1101

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