Vidalia Eyecare LLC
NPI 1568936151 · Optometrist · Vidalia, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vidalia Eyecare LLC is a Optometrist organization in Vidalia, GA (NPI 1568936151).
Provider details
- NPI number
- 1568936151
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Doo Kang, Owner(912) 537-2020
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
7 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
Registry dates
- Enumerated
- 2019-01-16
- Last updated
- 2019-01-16
Frequently asked questions
- What is Vidalia Eyecare LLC's NPI number?
- Vidalia Eyecare LLC's National Provider Identifier (NPI) is 1568936151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidalia Eyecare LLC?
- Vidalia Eyecare LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Vidalia Eyecare LLC located?
- Vidalia Eyecare LLC's practice location on file with NPPES is 206 Maple Dr, Vidalia, GA 30474-8907.
- What is Vidalia Eyecare LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidalia Eyecare LLC is (912) 537-2020.
- Does Vidalia Eyecare LLC accept Medicare?
- Vidalia Eyecare LLC 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 Vidalia Eyecare LLC?
- The authorized official listed on Vidalia Eyecare LLC's NPPES record is Doo Kang, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidalia Eyecare LLC's NPI active?
- Yes — Vidalia Eyecare LLC's NPI (1568936151) is active in the NPPES registry as of the last update on 2019-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.