Leiv M Takle MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LEIV M TAKLE MD PC

Doing business as

Takle Eye Group

Practice address

646 S 8TH St
Griffin, GA 30224-4214

Phone

(770) 228-3836

Fax

(770) 412-1733

NPI assigned

Jun 7, 2007

Last updated

Oct 9, 2026By 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

Leiv M Takle Jr., MDNPI 1609807445

Title

Owner / Ceo

Phone

(770) 228-3836

Specialties & licenses 2

Addresses

Other names 1

• Takle Eye Group Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 7

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.

• Leiv M Takle Jr., MD

  • Ophthalmology Physician
  • Griffin, GA
  • NPI 1609807445
  Medicare reassignment Care Compare group NPD Authorized official
• Amit Bajaj, MD

  • Cornea and External Diseases Specialist Physician
  • Atlanta, GA
  • NPI 1144783143

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Vladislav Ivanchenko, OD

  • Optometrist
  • Canton, GA
  • NPI 1497210009
  Medicare reassignment Care Compare group NPD
• Diana Shekoury, OD

  • Optometrist
  • Locust Grove, GA
  • NPI 1346131091
  Medicare reassignment Care Compare group NPD
• Janzen Cole Pigg, OD

  • Optometrist
  • Tallahassee, FL
  • NPI 1801672175

  GA

  Medicare reassignment Care Compare group NPD
• Ruchi Parimal Gandhi, O.D.

  • Optometrist
  • Griffin, GA
  • NPI 1306214655
  Medicare reassignment NPD
• Andrew David Coggin, M.D.

  • Ophthalmology Physician
  • Southern Pines, NC
  • NPI 1518307081

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1568665404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33932",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482325900",
            "telephone_number": "770-228-3836",
            "fax_number": "770-412-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-228-3836",
            "fax_number": "770-412-1733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Bandy Parkway",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302487036",
            "country_code": "US",
            "telephone_number": "770-228-3836",
            "fax_number": "770-412-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEIV M TAKLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "TAKLE",
        "authorized_official_first_name": "LEIV",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "770-228-3836",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takle Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Ledbetter
• Lashane Ledbetter
• Carolyn Ledet, PT ASSISTANT
• Alicia Skye Ledford, NP-C
• Laura Elizabeth Lee, MD
• Maria C Lemus-Zuniga
• Melanie Patrice Lester Holder, RD, LD, CLC
• Level Seven Training Institute LLC
• Danielle Nicole Lewis, MS
• Sanjenetta I Lewis, M.ED CCC-SLP

• Ophthalmology Physician in Griffin, GA
• Providers in Griffin, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.