P Praxis·MD
● Active Type 2 · Organization

Takle Eye Surgery Center Llc

Clinic/Center·Locust Grove, GA· NPI 1740776517 · Enumerated 2018 · 7 years on NPI
Takle Eye Surgery Center Llc is 1 of 602 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2018-07-05
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Takle
Owner
Last NPPES update
2021-07-19
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
7 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1075 Bandy Pkwy, Ste 105
Locust Grove, GA 30248
📞 7702283836
Mailing address
1075 Bandy Pkwy Ste 105
Locust Grove, GA 302487036
📞 7702823590

Authorized official

Leiv M Takle, MD
Owner
📞 7702283836

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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