EYE SURGERY CENTER OF AUGUSTA, LLC
NPI 1104987957
Clinic/Center - Ambulatory Surgical in Augusta, GA

Active since December 13, 2006CLIA 11D0957182 · Waiver
3658 J DEWEY GRAY CIR, AUGUSTA, GA 30909(706) 651-3937(706) 863-3102 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Mar 7, 2025 (2 updates tracked since 2025).

About Eye Surgery Center Of Augusta, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE SURGERY CENTER OF AUGUSTA, LLC (NPI 1104987957) is a healthcare organization registered as an ambulatory surgical in Augusta, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Bruce Allen Brown, President, as its authorized official.

NPPES Registry Identity

NPI1104987957
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEYE SURGERY CENTER OF AUGUSTA, LLC
Location Address3658 J DEWEY GRAY CIRAugusta, GA 30909-6424
Mailing Address3658 J Dewey Gray CirAugusta, GA 30909-6424 · (706) 651-2020 · Fax (706) 651-2032
Fax(706) 863-3102
Organization SubpartNo
Authorized OfficialBruce Allen BrownPresident · (706) 651-2020
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1104987957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X · License 121167 (GA)
3658 J DEWEY GRAY CIR, Augusta, GA 30909

Other Identifiers 6

Other7300002Aetna Ppo, Standard
Other10040055Amerigroup Mgd Medicaid
MedicaidASC020SC
Other2189908Aetna Hmo
Other324827Wellcare Managed Medicaid
Medicaid00830101AGA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0957182

Eye Surgery Center Of Augusta · Augusta, GA
Active · expires Feb 15, 2027
CLIA Number11D0957182
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorBeau Gardner
Laboratory Phone(706) 651-2020
Laboratory LocationEye Surgery Center Of Augusta3658 J Dewey Gray Circle, Augusta, GA 30909
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
8,312 services1,189 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,963 services1,138 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
1,286 services771 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
132 services77 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
99 services75 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
77 services49 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3658 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Nurse Anesthetist, Certified Registered
3658 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Nurse Anesthetist, Certified Registered
3658 J DEWEY GRAY CIR
AUGUSTA, GA 30909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Surgery Center Of Augusta, LLC's NPI number?

The NPI number for Eye Surgery Center Of Augusta, LLC is 1104987957. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Eye Surgery Center Of Augusta, LLC located?

Eye Surgery Center Of Augusta, LLC is located at 3658 J Dewey Gray Cir, Augusta, GA 30909. The listed phone number is (706) 651-3937.

What is Eye Surgery Center Of Augusta, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Eye Surgery Center Of Augusta, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0957182) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Surgery Center Of Augusta, LLC accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina and Mending Health list Eye Surgery Center Of Augusta, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eye Surgery Center Of Augusta, LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.