NPI age
19 years
Enumerated 2006-07-22
● Active Type 2 · Organization
Subpart
Atlanta Eye International Surgery Center Inc.
Atlanta Eye International Surgery Center Inc. is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilkes
Medical Director
Last NPPES update
2012-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
830 W Peachtree St Nw, Suite 101
Atlanta, GA 303081129
Mailing address
830 W Peachtree St Nw, Suite 101
Atlanta, GA 303081129
Authorized official
Shelby Ray Wilkes, M.D.
Medical Director
📞 4048816417
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P00067521 | RAILROAD MEDICARE |
| 01 (GA) | 001796 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 681158897A |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Atlanta Eye Consultant.
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