SOUTHEAST RETINA CENTER PC – NPI #1760467682
Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
SOUTHEAST RETINA CENTER PC is an ophthalmologist located in AUGUSTA, GA. NPPES has assigned the NPI number 1760467682 to SOUTHEAST RETINA CENTER PC on December 14, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.
The NPI profile was last updated on Apr 28, 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 SOUTHEAST RETINA CENTER PC below.
NPI Profile for
SOUTHEAST RETINA CENTER PC
(more than 20 years ago)
STE 201
AUGUSTA, GA 30909-6440 Phone: (706) 650-0061 Fax: (706) 650-0064
3 Other location(s):
Greensboro, GA 30642-3798
Phone: (706) 650-0061
Ste 100
Milledgeville, GA 31061-7108
Phone: (706) 650-0061
Thomson, GA 30824-2108
Phone: (706) 650-0061
BIRMINGHAM, AL 35246-8575 Phone: (864) 359-1308 Fax: (239) 496-3939
CFO
Phone: (470) 243-2259
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 for SOUTHEAST RETINA CENTER PC
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | GA | 000293719A | |
| medicaid | GA | 000605283B | |
| medicaid | SC | GPA 668 |
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 |
|---|---|---|
| 207W00000X - Ophthalmology (Primary) |
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.