Eye Surgery Center of Augusta, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYE SURGERY CENTER OF AUGUSTA, LLC

Practice address

3658 J Dewey Gray Cir
Augusta, GA 30909-6424

Phone

(706) 651-3937

Fax

(706) 863-3102

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Bruce Allen BrownNPI 1508927310

Title

President

Phone

(706) 651-2020

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Eye Surgery Center of Augusta LLCCCN 11C0001151

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Allen Brown, M.D.

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1508927310
  NPD Authorized official
• Beau Gardner, M.D.

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1093798993
  NPD
• James Conner Lockwood, M.D.

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1366838120
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1104987957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096424",
            "telephone_number": "706-651-2020",
            "fax_number": "706-651-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096424",
            "telephone_number": "706-651-3937",
            "fax_number": "706-863-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF AUGUSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-651-2020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "GA",
            "license": "121167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO, STANDARD",
            "identifier": "7300002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP MGD MEDICAID",
            "identifier": "10040055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC020",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2189908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MANAGED MEDICAID",
            "identifier": "324827",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00830101A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Expresshealth Inc.
• Eye Associates of Georgia Inc
• Eye Care One Laser Vision Center LLC
• Eye Guys Carolina LLC
• Eye Physicians and Surgeons of Augusta, PC
• Eyeguys Ods, LLC
• Eyemart Express LLC
• Eyemart Express, LTD
• Chikelue Tagboo Ezekwueche
• Gabriel Okwuchigemezu Ezuma Jr., MD

• Ambulatory Surgical Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.