| Eye Physicians And Surgeons Of Augusta, Pc | |
|
1330 Interstate Pkwy, Augusta, GA 30909-5625 | |
| (706) 651-2020 | |
| (706) 651-2032 |
| Full Name | Eye Physicians And Surgeons Of Augusta, Pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1330 Interstate Pkwy, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386705069 | NPI | - | NPPES |
| 40138 | Other | GA | AVESIS PIN |
| 52748856 | Other | BCBS OF GA-OPTICAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Bruce A Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508927310 PECOS PAC ID: 7517936362 Enrollment ID: I20040928001023 |
| Provider Name | Herbert Fechter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063467454 PECOS PAC ID: 5294820999 Enrollment ID: I20070926000623 |
| Provider Name | Beau Gardner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093798993 PECOS PAC ID: 2567513393 Enrollment ID: I20090707000594 |
| Provider Name | Robert R Morgan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508027343 PECOS PAC ID: 8628121878 Enrollment ID: I20090805000372 |
| Provider Name | Bradley Alan Bertram |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184785008 PECOS PAC ID: 5698876605 Enrollment ID: I20101116000186 |
| Provider Name | Douglas W Ellenberger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841588555 PECOS PAC ID: 3072784131 Enrollment ID: I20110921000218 |
| Provider Name | Ryan Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003017468 PECOS PAC ID: 6406907211 Enrollment ID: I20111110000713 |
| Provider Name | James Conner Lockwood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366838120 PECOS PAC ID: 6901109271 Enrollment ID: I20191007001557 |
| Provider Name | Kyle P Fluharty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174127617 PECOS PAC ID: 8325432701 Enrollment ID: I20230920003825 |
| Provider Name | Harika Karunakota |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215719968 PECOS PAC ID: 4880044759 Enrollment ID: I20231219002571 |
| Provider Name | Christian Mays |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003470352 PECOS PAC ID: 5092131458 Enrollment ID: I20240522001016 |
| Provider Name | Kennedy Belangee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255011060 PECOS PAC ID: 7517401276 Enrollment ID: I20240705000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Physicians And Surgeons Of Augusta, Pc 1330 Interstate Pkwy, Augusta, GA 30909-5625 Ph: (706) 651-2020 | Eye Physicians And Surgeons Of Augusta, Pc 1330 Interstate Pkwy, Augusta, GA 30909-5625 Ph: (706) 651-2020 |