NPI 1003456229
Southeast Eye Group LLC
Practice location
- Address
- 17 Hometown Way, Blairsville, GA 30512
- Phone
- (706) 896-3303
- Fax
- (706) 896-9485
Authorised official
- Name
- Jose Matias Arencibia
- Title
- President/Optometrist
- Phone
- (706) 896-3303
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1003456229
- Entity type
- Organization
- NPI issued
- 15 Jan 2020
- Record last updated
- 4 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.