SEASIDE OPHTHALMOLOGY, INC – Ophthalmology Physician, NPI 1427113554

SEASIDE OPHTHALMOLOGY, INC is a healthcare provider. based in Brunswick, Georgia. specializing in Ophthalmology Physician. The organization holds a License No. 052897 (GA). The NPI Number for SEASIDE OPHTHALMOLOGY, INC is 1427113554

Main info

Organization
Name
SEASIDE OPHTHALMOLOGY, INC
NPI
1427113554
Phone
(912) 466-9500
Address
3303A GLYNN AVE
Authorized Official
MRS. LISA J CLARK OFFICE MANAGER
Enumeration Date
27 December 2006
Last Update Date
4 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SEASIDE OPHTHALMOLOGY, INC

  • 3303A GLYNN AVE

    BRUNSWICK, GA 315204406

    Phone: (912) 466-9500

    Fax: (912) 466-9922

    Type: Location

  • Glynn Avenue, Brunswick, Glynn County, Georgia, 32523, United States

    BRUNSWICK, GA 31520

    Phone: (912) 466-9500

    Fax: (912) 466-9922

    Type: Mailing

  • 101 Darling Ave

    Waycross, GA 315015219

    Phone: (912) 584-0047

    Fax: (912) 490-1498

    Type: Location

  • 1891 Hwy 40 E Ste 1102

    Kingsland, GA 315486573

    Phone: (912) 576-4466

    Fax: (912) 576-4472

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (863 days ago).

Enrollment records

2

Earliest due date

2024-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050803000640OClinic/Group PracticeGA2024-01-31
O20100930079489OPhysician - OptometristGA2024-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31520)

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Reviews

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Frequently asked questions

Can I verify SEASIDE OPHTHALMOLOGY, INC with an NPI only?
You can start verification with NPI 1427113554 for SEASIDE OPHTHALMOLOGY, INC, then check state licensing separately.
Is SEASIDE OPHTHALMOLOGY, INC still practicing?
SEASIDE OPHTHALMOLOGY, INC is currently listed as active in the public NPI registry.
What healthcare role does SEASIDE OPHTHALMOLOGY, INC hold?
Scheduling teams often label SEASIDE OPHTHALMOLOGY, INC under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What area does SEASIDE OPHTHALMOLOGY, INC serve?
SEASIDE OPHTHALMOLOGY, INC's listing highlights Brunswick, Georgia; more addresses can appear in NPPES.
Is the information about SEASIDE OPHTHALMOLOGY, INC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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