Southeastern Eye Clinic PC
NPI 1225199979 · Optometrist · Statesboro, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Eye Clinic PC is a Optometrist organization in Statesboro, GA (NPI 1225199979).
Provider details
- NPI number
- 1225199979
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Horace Deal, Owner, Provider(912) 764-5609
- License
- OPTO01603 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vision Source - Professional Eye Care
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Frequently asked questions
- What is Southeastern Eye Clinic PC's NPI number?
- Southeastern Eye Clinic PC's National Provider Identifier (NPI) is 1225199979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Eye Clinic PC?
- Southeastern Eye Clinic PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Southeastern Eye Clinic PC located?
- Southeastern Eye Clinic PC's practice location on file with NPPES is 214 Savannah Ave, Statesboro, GA 30458-5165.
- What is Southeastern Eye Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Eye Clinic PC is (912) 764-5609.
- Does Southeastern Eye Clinic PC accept Medicare?
- Southeastern Eye Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeastern Eye Clinic PC?
- The authorized official listed on Southeastern Eye Clinic PC's NPPES record is Horace Deal, Owner, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Eye Clinic PC's NPI active?
- Yes — Southeastern Eye Clinic PC's NPI (1225199979) is active in the NPPES registry as of the last update on 2024-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.