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...
GA license #66645OH license #57009416taxonomy 207W00000X
Identifiers
Type
Value
Notes
01 (OH)
P00748929
RAILROAD MEDICARE
05 (OH)
2965260
01 (GA)
202I183712
PTAN
01 (KY)
P00725745
RAILROAD MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Ophthalmology
Medical school
University Of Cincinnati College Of Medicine
Graduation year 2004
Largest Medicare group
10 members
Largest listed enrollment group
Facility affiliations reported by CMS
Eye Physicians And Surgeons Of Augusta, Pc
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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