Eye Surgery Center Of Augusta, Llc
LBN: Eye Surgery Center Of Augusta, Llc
Eye Surgery Center Of Augusta, Llc is an health care organization with primary practice located at 3658 J Dewey Gray Cir , Augusta GA 30909-6424. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty.
Eye Surgery Center Of Augusta, Llc can be contacted via phone (706) 651-3937, or through Mcleod, Wallace Norman via phone (706) 651-2020.
Contact Information
Primary practice address
3658 J Dewey Gray Cir
Augusta GA 30909-6424
Phone: (706) 651-3937
Fax: (706) 863-3102
Website:
Authorized official contact:
Name: Mcleod, Wallace Norman Doctor of Medicine (MD)
Phone: (706) 651-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ophthalmologic Surgery | 261QS0132X | 121167 | Georgia |
Profile Details
| NPI number | 1104987957 |
|---|---|
| LBN Legal business name | Eye Surgery Center Of Augusta, Llc |
| DBA Doing business as | |
| Authorized official | Mcleod, Wallace Norman Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104987957 | NPPES |
| Other | 10040055 | AMERIGROUP MGD MEDICAID | |
| Other | 324827 | AMERIGROUP MGD MEDICAID | |
| Other | 7300002 | AMERIGROUP MGD MEDICAID | |
| MEDICAID | ASC020 | AMERIGROUP MGD MEDICAID | |
| MEDICAID | 00830101A | AMERIGROUP MGD MEDICAID | |
| Other | 2189908 | AMERIGROUP MGD MEDICAID |
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