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Southeast Retina Center PC

NPI 1760467682ActiveOrganization· Ophthalmology· Augusta, GA

Ophthalmology in Augusta, Georgia, registered in NPPES in December 2005. The authorized official on file is Kevin Becker, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1760467682
StatusActive
Entity typeOrganization
NPI issuedDec 14, 2005
Last updated in NPPESApr 28, 2026
Certified by providerApr 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (SC)

Medicare sources and data years

Other Ophthalmology providers in Augusta

All Ophthalmology providers in Georgia →