Southeast Eye Group LLC
NPI 1003456229ActiveOrganization· Optometrist· Blairsville, GA
Optometrist in Blairsville, Georgia, registered in NPPES in January 2020, part of Georgia Vision Center. The authorized official on file is Jose Matias Arencibia, O.D., President/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003456229 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Vision Center |
| NPI issued | Jan 15, 2020 |
| Last updated in NPPES | Aug 4, 2020 |
| Certified by provider | Aug 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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