RETINA CONSULTANTS PC NPI 1750445425

NPI Information

  • NPI: 1750445425
  • Provider Name: RETINA CONSULTANTS PC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Doing Business As: THE RETINA EYE CENTER
  • Address: 3520 WALTON WAY EXT
    AUGUSTA, GA
    ZIP 30909
  • Phone: (706) 481-9191

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NPI Details

RETINA CONSULTANTS PC is an ophthalmology in Augusta, GA. The provider is 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. RETINA CONSULTANTS PC NPI is 1750445425. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Retina Eye Center.

The provider's business location address is:

3520 WALTON WAY EXT
AUGUSTA, GA
ZIP 30909-605
Phone: (706) 481-9191
Fax: (706) 481-9197

The provider's authorized official is Oksana M Demediuk .
The authorized official title is Vice President and has the following contact phone number (706) 481-9191.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 9/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP2817MEDICAIDSOUTH CAROLINA
255003385AMEDICAIDGEORGIA
3GPA695MEDICAIDSOUTH CAROLINA
46688MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
5GRP3328MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

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This page was last updated on: 11/21/2025

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