Athens Retina Center PC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

059245 Issued in GA

Legal business name

ATHENS RETINA CENTER PC

Practice address

2705 Jefferson Rd
Athens, GA 30607-1208

Phone

(706) 543-3200

Fax

(706) 433-1745

NPI assigned

May 7, 2007

Last updated

May 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohan Narayanaswamy Iyer, M.D.NPI 1730173352

Title

Owner

Phone

(706) 543-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohan N Iyer, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Athens, GA
  • NPI 1730173352
  Medicare reassignment Care Compare group Authorized official
• Victor Thomas Copeland, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Athens, GA
  • NPI 1811125610

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ghazala Amirali Datoo O'Keefe, M.D.

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1093954000
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1346453685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 JEFFERSON RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071208",
            "telephone_number": "706-543-3200",
            "fax_number": "706-433-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 JEFFERSON RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071208",
            "telephone_number": "706-543-3200",
            "fax_number": "706-433-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS RETINA CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "NARAYANASWAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-543-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "GA",
            "license": "059245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "059245",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "73361",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athens Regional Physicians Services
• Athens Regional Physicians Services, Inc
• Athens Regional Specialty Services
• Athens Regional University Cancer Center, LLC
• Athens Renal Center LLC
• Athens Rheumatology Clinic, LLC
• Athens Sleep and Snoring Solutions LLC
• Athens Sleep and Wellness Center
• Athens Spinal Rehabilitation Center
• Athens Spine & Neurological Surgery

• Retina Specialist (Ophthalmology) Physician in Athens, GA
• Providers in Athens, GA by specialty
• Retina Specialist (Ophthalmology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.