Provider Demographics
NPI:1629419007
Name:GOULAS EYE
Entity Type:Organization
Organization Name:GOULAS EYE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANNIOTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-815-5454
Mailing Address - Street 1:23 PLANTATION PARK DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6038
Mailing Address - Country:US
Mailing Address - Phone:843-757-9661
Mailing Address - Fax:843-757-9665
Practice Address - Street 1:23 PLANTATION PARK DR STE 401
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6094
Practice Address - Country:US
Practice Address - Phone:843-757-9661
Practice Address - Fax:843-757-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty