NPIMap

Organization Active NPI

Eye Physicians and Surgeons of Augusta, PC

Doing business as Eye Guys- Aiken

  • Ophthalmology Physician
  • Aiken, SC
National Provider Identifier
1316593759
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS AND SURGEONS OF AUGUSTA, PC
Doing business as
Eye Guys- Aiken
Eye Physicians & Surgeons- Aiken
Practice address
792 Silver Bluff Rd
Aiken, SC 29803-6055
Phone
(803) 642-9902
NPI assigned
Aug 12, 2019
Organization subpart
Yes
Parent organization
EYE PHYSICIANS & SURGEONS OF AUGUSTA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Bradley Alan Bertram, MDNPI 1184785008
Title
President
Phone
(706) 651-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

792 Silver Bluff Rd
Aiken, SC 29803-6055

Mailing address

1330 Interstate Pkwy
Augusta, GA 30909-5625
Phone (706) 651-2020

Other names 2

  • Eye Guys- Aiken Doing business as
  • Eye Physicians & Surgeons- Aiken Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001001871 SC Part B Supplier - Clinic/Group Practice 4789678343 Receives reassigned benefits from 5 practitioners
Practice locations: Aiken, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
42D2172829Eye Physicians & Surgeons of Augusta, PC792 Silver Bluff Road, Aiken, SC 29803Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory
Part of
Eye Physicians Surg-Aiken

Practitioners & affiliated clinicians

Practitioners 12

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": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1316593759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095625",
            "telephone_number": "706-651-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036055",
            "telephone_number": "803-642-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS AND SURGEONS OF AUGUSTA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIANS & SURGEONS OF AUGUSTA, PC",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-651-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Guys- Aiken",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Physicians & Surgeons- Aiken",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.