The Retina Eye Center

LBN: Retina Consultants Pc
The Retina Eye Center is an health care organization with primary practice located at 3520 Walton Way Ext , Augusta GA 30909-6605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Retina Consultants Pc can be contacted via phone (706) 481-9191, or through Demediuk, Oksana M via phone (706) 481-9191.

Contact Information

Primary practice address
3520 Walton Way Ext Augusta GA 30909-6605
Phone: (706) 481-9191
Fax: (706) 481-9197
Website:
Map and Directions
Authorized official contact:
Name: Demediuk, Oksana M Doctor of Medicine (MD)
Phone: (706) 481-9191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1750445425
LBN Legal business name Retina Consultants Pc
DBA Doing business as The Retina Eye Center
Authorized official Demediuk, Oksana M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 26th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750445425 NPPES
South Carolina MEDICAID GPA695
South Carolina MEDICAID GP2817
South Carolina MEDICAID 55003385A

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