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

Southeast Eye Surgery Center, PC

Organization Ophthalmology Physician · NPI 1629120928

Southeast Eye Surgery Center, PC is an Ophthalmology Physician in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5505 Peachtree Dunwoody Rd NE Ste 300
Atlanta, GA 30342-1705
Phone: (404) 257-0814
Fax: (404) 843-8521
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1629120928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Baldock — Officer And Authorized Official · (615) 234-5954
Other names Omni Eye Services; Omni Eye Services
NPI enumeratedJanuary 17, 2007
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address5505 Peachtree Dunwoody Rd Ne, Suite 300, Atlanta, GA 30342-1705

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