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Atlanta Eye International Surgery Center INC.

Clinic/Center, Ambulatory Surgical in Atlanta, GA. Organization (NPI-2).

NPI number1285655464
StatusActive
Last updated in NPPESJun 21, 2012

Details

NPI
1285655464
Entity type
Organization (NPI-2)
Legal business name
Atlanta Eye International Surgery Center INC.
Organization subpart
Yes
Enumeration date
Jul 22, 2006
Last updated
Jun 21, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical11-C0001213GAYes

Practice location

830 W Peachtree St Nw
Suite 101
Atlanta, GA 30308-1129

Phone 404-881-6417 · Fax 404-876-7565

Mailing address

830 W Peachtree St Nw
Suite 101
Atlanta, GA 30308-1129

Phone 404-881-6417 · Fax 404-876-7565

Authorized official

Shelby Ray Wilkes
Medical Director
4048816417

Is something wrong?

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