Active NPI
Eye Center of Central Georgia, PC
- Ophthalmology Physician
- Macon, GA
National Provider Identifier
1225002777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CENTER OF CENTRAL GEORGIA, PC
- Practice address
- 1429 Oglethorpe St
Macon, GA 31201-1512 - Phone
- (478) 743-7061
- Fax
- (478) 743-6296
- NPI assigned
- Feb 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Becker
- Title
- Cfo
- Phone
- (914) 391-4921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1429 Oglethorpe St
Macon, GA 31201-1512
Mailing address
PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55000065A | Medicaid | GA | |
| CC3213 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2330094 | Eye Center of Central Georgia, PC | Certificate of waiver | Sep 9, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Eyewear Supplier
- Macon, GA
- NPI 1528032034
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Macon, GA
- NPI 1730153099
-
- Ophthalmology Physician
- Macon, GA
- NPI 1356315766
-
- Ophthalmology Physician
- Macon, GA
- NPI 1629041322
-
- Optometrist
- Macon, GA
- NPI 1154324200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1225002777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352468575",
"telephone_number": "864-359-1308",
"fax_number": "239-496-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 OGLETHORPE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312011512",
"telephone_number": "478-743-7061",
"fax_number": "478-743-6296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CENTER OF CENTRAL GEORGIA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-13",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "914-391-4921"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55000065A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC3213",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.