Southeast Eye Surgery Center, PC
NPI 1629120928 · Ophthalmology Physician · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Eye Surgery Center, PC is a Ophthalmology Physician organization in Atlanta, GA (NPI 1629120928).
Provider details
- NPI number
- 1629120928
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Baldock, Officer and Authorized Official(615) 234-5954
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- Omni Eye Services
- Doing business as
- Omni Eye Services
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2022-12-09
- Certified
- 2022-12-09
Frequently asked questions
- What is Southeast Eye Surgery Center, PC's NPI number?
- Southeast Eye Surgery Center, PC's National Provider Identifier (NPI) is 1629120928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Eye Surgery Center, PC?
- Southeast Eye Surgery Center, PC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Eye Surgery Center, PC located?
- Southeast Eye Surgery Center, PC's practice location on file with NPPES is 5505 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1705.
- What is Southeast Eye Surgery Center, PC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Eye Surgery Center, PC is (404) 257-0814.
- Does Southeast Eye Surgery Center, PC accept Medicare?
- Southeast Eye Surgery Center, 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 Southeast Eye Surgery Center, PC?
- The authorized official listed on Southeast Eye Surgery Center, PC's NPPES record is Jennifer Baldock, Officer and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Eye Surgery Center, PC's NPI active?
- Yes — Southeast Eye Surgery Center, PC's NPI (1629120928) is active in the NPPES registry as of the last update on 2022-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.