THOMAS EYE SURGERY CENTER OF FAYETTE
NPI 1174233522
Clinic/Center - Ambulatory Surgical in Tyrone, GA

NPI Status: Active since November 28, 2022

Contact Information

245 GREENCASTLE RD
TYRONE, GA
ZIP 30290
Phone: (404) 252-4675

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 11D2279904
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-10-2027

About THOMAS EYE SURGERY CENTER OF FAYETTE

This page provides the complete NPI Profile along with additional information for Thomas Eye Surgery Center Of Fayette, a provider established in Tyrone, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174233522 assigned on November 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Paul Kaufman Md (Medical Director)

NPI
1174233522
Provider Name
THOMAS EYE SURGERY CENTER OF FAYETTE
Entity Type
Organization
Location Address
245 GREENCASTLE RD TYRONE, GA 30290
Location Phone
(404) 252-4675
Mailing Address
5901 PEACHTREE DUNWOODY RD STE A500 ATLANTA, GA 30328
Mailing Phone
(678) 781-7373
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2022
Last Update Date
11-28-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL KAUFMAN MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(404) 252-4675

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Removal of cataract with insertion of prosthetic lens

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.

This service was performed 41 times for 26 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2279904
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 11, 2025
Certificate Expiration Date
April 10, 2027
Laboratory Director
PAUL L. KAUFMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Thomas Eye Surgery Center Of Fayette to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174233522, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 4 + 3 + 6 + 5 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174233522.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Specialist
245 GREENCASTLE RD
TYRONE, GA 30290
Ophthalmology
245 GREENCASTLE RD
TYRONE, GA 30290

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174233522, enumerated as an "organization" on November 28, 2022.

The provider is located at 245 GREENCASTLE RD TYRONE, GA 30290 and the phone number is (404) 252-4675.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.