American Eye Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMERICAN EYE SURGERY CENTER, INC.

Practice address

651 S Milledge Ave
Athens, GA 30605-1250

Phone

(706) 546-9290

Fax

(706) 546-4938

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Candice B Davis

Title

Chief Revenue Cycle Officer

Phone

(916) 990-7590

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

American Eye Surgery Center IncCCN 11C0001290

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

Locations

Practitioners 1

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

• Jing Dong, MD PHD

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1356341119
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1104998558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051250",
            "telephone_number": "706-546-9290",
            "fax_number": "706-546-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051250",
            "telephone_number": "706-546-9290",
            "fax_number": "706-546-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EYE SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003165353",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jdong@georgiacfs.intellechartdirect.net",
            "affiliation": "Y",
            "endpointDescription": "EHR email",
            "affiliationName": "Jing Dong M.D. P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "651 S Milledge Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306051250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bela Amaral, LCSW
• Malaika D Amedee, MSW
• Amedisys Georgia, L.L.C
• Eunice Nyedela Amenu
• America'S Best Contacts & Eyeglasses
• American Health Imaging of Georgia, LLC
• Amicita Home Health, LLC
• Tamer Ammar, M.D.
• Dzidzo Afi Anaglate, M.D.
• Amelito Manuel Logronio Andaya, M.D.

• Ambulatory Surgical Clinic/Center in Athens, GA
• Providers in Athens, 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 Feb 28, 2023; 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.