EYE SURGERY CENTER OF GEORGIA LLC NPI 1922234855

NPI Information

  • NPI: 1922234855
  • Provider Name: EYE SURGERY CENTER OF GEORGIA, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D1098182
  • Address: 1100 JOHNSON FERRY RD NE
    SUITE 130
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 531-9988

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NPI Details

EYE SURGERY CENTER OF GEORGIA, LLC is an ambulatory surgical clinic center in Atlanta, GA. EYE SURGERY CENTER OF GEORGIA, LLC NPI is 1922234855. The provider is registered as an organization entity type.

The provider's business location address is:

1100 JOHNSON FERRY RD NE
SUITE 130
ATLANTA, GA
ZIP 30342-709
Phone: (404) 531-9988
Fax: (404) 897-4924

The provider's authorized official is Eric Bossak .
The authorized official title is Administrator and has the following contact phone number (404) 897-6810.

The CLIA number assigned to this NPI record is 11D1098182 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Destruction of lens tissue using laser (HCPCS:66710)

The enumeration date for this NPI number is 6/5/2009 and was last updated on 6/5/2009.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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