Augusta Retina Consultants

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

61106 Issued in GA

Legal business name

AUGUSTA RETINA CONSULTANTS

Practice address

1701 Magnolia Way
Suite 201
Augusta, GA 30909-9483

Phone

(706) 589-5361

NPI assigned

Nov 5, 2014

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sohail Khan, M.D.NPI 1194922765

Title

President

Phone

(706) 589-5361

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Tax ID family

Aiken Retina Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Augusta Retina Consultants

  • Ophthalmologic Surgery Clinic/Center
  • Aiken, SC
  • NPI 1477208346
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sohail Khan, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Augusta, GA
  • NPI 1194922765

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• Doan Tam Bloomquist, M.D

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1700178308
  Medicare reassignment Care Compare group NPD
• Thomas R. Lovas, D.O.

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1245233584
  Medicare reassignment Care Compare group NPD
• Christopher O. Ochieng, MD

  • Ophthalmology Physician
  • Fort Stewart, GA
  • NPI 1255693321
  Medicare reassignment NPD
• Poonaminder Kaur, MD

  • Family Medicine Physician
  • Evans, GA
  • NPI 1194829135
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1063818920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099482",
            "telephone_number": "706-589-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAGNOLIA WAY",
            "address_2": "SUITE 201",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099483",
            "telephone_number": "706-589-5361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Gregg Ave NW",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298012797",
            "country_code": "US",
            "telephone_number": "706-426-7342",
            "fax_number": "888-383-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUGUSTA RETINA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-589-5361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "61106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P01149235",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Primary Care Services, LLC
• Augusta Prosthetics & Orthotics Inc (Augusta Orthotics & Prosthetics, Inc.)
• Augusta Psychiatry and Therapy Associates, LLC
• Augusta Rehabilitation Associates, P.C.
• Augusta Renal Physicians, P.C.
• Augusta Retina Laser Surgicare
• Augusta Rheumatology Institute, LLC
• Augusta Sleep Study Solutions, LLC
• Augusta Smiles Youth Dentistry, PC
• Augusta Specialty Hospitalists LLC

• Ophthalmology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.