Provider Demographics
NPI:1346050325
Name:OCONEE EYE LLC
Entity type:Organization
Organization Name:OCONEE EYE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGASSE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-525-2056
Mailing Address - Street 1:129 COLHAM FERRY RD
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-2619
Mailing Address - Country:US
Mailing Address - Phone:402-525-2056
Mailing Address - Fax:
Practice Address - Street 1:1725 ELECTRIC AVE STE 100A
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-2608
Practice Address - Country:US
Practice Address - Phone:706-237-9128
Practice Address - Fax:706-237-9129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty