Provider Demographics
NPI:1326190737
Name:CHATHAM EYE ASSOCIATES
Entity Type:Organization
Organization Name:CHATHAM EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DANDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-232-9700
Mailing Address - Street 1:9104 MIDDLEGROUND RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-9945
Mailing Address - Country:US
Mailing Address - Phone:912-232-9700
Mailing Address - Fax:912-201-1608
Practice Address - Street 1:9104 MIDDLEGROUND RD STE 1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-9945
Practice Address - Country:US
Practice Address - Phone:912-232-9700
Practice Address - Fax:912-201-1608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053438174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA021262938AMedicaid
GA449810589AMedicaid
GAH95849Medicare UPIN