AUGUSTA RETINA LASER SURGICARE – NPI #1235118043
Clinic/Center

AUGUSTA RETINA LASER SURGICARE is an AHC clinic located in AUGUSTA, GA. NPPES has assigned the NPI number 1235118043 to AUGUSTA RETINA LASER SURGICARE on January 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Apr 27, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUGUSTA RETINA LASER SURGICARE below.

NPI Profile for
AUGUSTA RETINA LASER SURGICARE

NPI Number
1235118043
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AUGUSTA RETINA LASER SURGICARE
Primary location
3685 WHEELER RD
SUITE 202
AUGUSTA, GA 30909-6446
Phone: (706) 210-0305 Fax: (706) 210-0306
Mailing address
PO BOX 11407
BIRMINGHAM, AL 35246-8575
Phone: (864) 359-1308 Fax: (239) 496-3939
Organization Subpart
No
Authorized Official
KEVIN BECKER
CFO
Phone: (914) 391-4921
Updated
Certification Date
Apr 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AUGUSTA RETINA LASER SURGICARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidGA000874794A
medicaidSCASC025
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.