Organization Active NPI

Augusta Eye Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Augusta, GA
National Provider Identifier
1154449643
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AUGUSTA EYE SURGERY, LLC
Practice address
905 Stevens Creek Rd
Augusta, GA 30907-3201
Phone
(706) 922-6000
Fax
(706) 722-7994
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Mrs. Michelle Rogers, COE
Title
Administrator
Phone
(706) 922-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

905 Stevens Creek Rd
Augusta, GA 30907-3201

Mailing address

905 Stevens Creek Rd
Augusta, GA 30907-3201
Phone (706) 922-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000190 GA Part B Supplier - Ambulatory Surgical Center 3678657780 Practice locations: Augusta, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Augusta Eye Surgery LLCCCN 11C0001311
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1067855Augusta Eye Surgery LLC905 Stevens Creek Road, Augusta, GA 30907Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

905 Stevens Creek Rd
Ste B
Augusta, GA 30907
Phone (706) 922-6000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1154449643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073201",
            "telephone_number": "706-922-6000",
            "fax_number": "706-722-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073201",
            "telephone_number": "706-922-6000",
            "fax_number": "706-722-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA EYE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-922-6000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.