EYE SURGERY CENTER OF AUGUSTA, LLC
EYE SURGERY CENTER OF AUGUSTA, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104987957, based in Augusta, GA. The organization lists 2 taxonomy classifications, with Ambulatory Surgical Clinic/Center recorded as primary.
Getting there
The practice address on file is 3658 J DEWEY GRAY CIR, Augusta, GA 30909. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 121167 | GA | Ophthalmologic Surgery Clinic/Center |
This provider holds licence 121167 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Ambulatory Surgical Center
- PAC ID
- 1153463641
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Ambulatory Surgical Center. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Ambulatory Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QA1903X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center Ambulatory Surgical | — | — | primary |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center Ophthalmologic Surgery | 121167 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104987957 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 13, 2006 |
| Last updated | Dec 15, 2025 |
| Status | Active |
| Practice address |
3658 J DEWEY GRAY CIR Augusta, GA 30909 (706) 651-3937 Fax (706) 863-3102 |
| Other identifiers |
7300002
· AETNA PPO, STANDARD 10040055 · AMERIGROUP MGD MEDICAID ASC020 (SC) 2189908 · AETNA HMO 324827 · WELLCARE MANAGED MEDICAID 00830101A (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 9 | 8 | 7 | 9 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 9 | 8 | 5 | 9 | 1 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.