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NPI Code Detail

MEDICARE: EYE CENTER OF CENTRAL GEORGIA, PC

MEDICARE: EYE CENTER OF CENTRAL GEORGIA, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CC3213OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225002777
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE CENTER OF CENTRAL GEORGIA, PC
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-8575
Country : US
Telephone Number : 864-359-1308
Fax Number :
Provider Business Practice Location Address
First Line : 1429 OGLETHORPE ST
Second Line :
City : MACON
State : GA
Zip : 31201-1512
Country : US
Telephone Number : 478-743-7061
Fax Number : 478-743-6296
Authorized Official
Title or Position : CFO
Name : KEVIN BECKER
Credential :
Telephone Number : 914-391-4921
Provider Enumeration Date : 02/13/2006
Last Update Date : 04/10/2026

Similar Medicare Providers

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Practice Location Address:
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1154324200 — DR. WILLIAM G TAYLOR O.D. P.C.
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1457324154 — DR. JOHN A PAGE M.D.
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1629041322 — DR. MALCOLM S MOORE JR. M.D.
Practice Location Address:
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1528032034 — CENTRAL GEORGIA EYE DESIGNS, INC.
Practice Location Address:
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1356315766 — DR. SPENCER F MADDOX III M.D.
Practice Location Address:
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Practice Fax: 478-743-6296

Directions to “EYE CENTER OF CENTRAL GEORGIA, PC ” Practice Location

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