Provider Demographics
NPI:1467459057
Name:EGHIGIAN, DAVID SASSOUNI (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SASSOUNI
Last Name:EGHIGIAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303A GLYNN AVE
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4406
Mailing Address - Country:US
Mailing Address - Phone:912-466-9500
Mailing Address - Fax:912-466-9922
Practice Address - Street 1:1891 HWY 40 E STE 1102
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6573
Practice Address - Country:US
Practice Address - Phone:912-576-4466
Practice Address - Fax:912-576-4472
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003478152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3551648OtherAETNA
IL08232030OtherBLUE CROSS BLUE SHIELD
IL2201326OtherUNITED HEALTH CARE
IL3551648OtherAETNA
IL544020Medicare ID - Type Unspecified