OrganizationActive
Southeast Eye Professionals LLC
NPI 1902169345 · Ophthalmology Physician · Atlanta, GA
Provider details
- NPI number
- 1902169345
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Gilpin, Chief Financial Officer(770) 804-1684
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
800 Mt Vernon Hwy Ne
Suite 120
Atlanta, GA 30328
Phone: (770) 804-1684
Fax: (770) 255-1275
Street-level locationGet directions
Mailing address
800 Mt Vernon Hwy Ne
Atlanta, GA 30328
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2012-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.