Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEIV M TAKLE MD PC
NPI 1568665404
Ophthalmology in Griffin, GA

Active since June 07, 2007
646 S 8TH ST, GRIFFIN, GA 30224(770) 228-3836(770) 412-1733 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Oct 22, 2018, Jan 31, 2017 (3 updates tracked since 2017).

About Leiv M Takle Md Pc NPPES

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

LEIV M TAKLE MD PC (NPI 1568665404), doing business as Takle Eye Group, is a healthcare organization registered as an ophthalmology in Griffin, Georgia and active in the NPI registry since June 2007. The organization maintains a secondary practice location in Locust Grove and lists Leiv M Takle, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1568665404
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameLEIV M TAKLE MD PC
Location Address646 S 8TH STGriffin, GA 30224-4214
Mailing AddressPo Box 33932Detroit, MI 48232-5900 · (770) 228-3836 · Fax (770) 412-1733
Fax(770) 412-1733
Organization SubpartNo
Authorized OfficialLeiv M TakleOwner / Ceo · (770) 228-3836
Enumeration DateJune 7, 2007
Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1568665404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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 disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
646 S 8TH ST, Griffin, GA 30224

Other Names 1

Doing Business AsTakle Eye Group

Secondary Practice Location 1

Location 11075 Bandy Parkway, Suite 110Locust Grove, GA 30248-7036 · Phone (770) 228-3836 · Fax (770) 412-1733

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leiv M Takle Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Leiv M Takle MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1306214655
646 8TH STREET
Griffin, GA 30224
(770) 228-3836
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1609807445
646 S 8TH ST
Griffin, GA 30224
(770) 228-3836
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1346131091
1075 BANDY PKWY STE 110
Locust Grove, GA 30248
(770) 228-3836
✔ PECOS✔ Accepts Medicare11 mi
Ophthalmology
NPI 1144783143
1100 JOHNSON FY RD NE STE 108140
Atlanta, GA 30342
(404) 531-9988
✔ PECOS✔ Accepts Medicare46 mi
Optometry
NPI 1497210009
2030 CUMMING HWY STE 106
Canton, GA 30115
(678) 493-2220
✔ PECOS✔ Accepts Medicare70 mi
Optometry
NPI 1801672175
2506 N MONROE ST
Tallahassee, FL 32303
(850) 385-0103
✔ PECOS✔ Accepts Medicare190 mi
Ophthalmology
NPI 1518307081
300 PAVILION WAY STE 200
Southern Pines, NC 28387
(910) 725-7985
✔ PECOS✔ Accepts Medicare308 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Leiv M Takle MD PC's NPI number?

The NPI number for Leiv M Takle MD PC is 1568665404. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Takle Eye Group.

Where is Leiv M Takle MD PC located?

Leiv M Takle MD PC is located at 646 S 8th St, Griffin, GA 30224. The listed phone number is (770) 228-3836.

What is Leiv M Takle MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Leiv M Takle MD PC enrolled in Medicare?

Yes. Leiv M Takle MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leiv M Takle MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Leiv M Takle MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (4) and Ophthalmology (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Leiv M Takle MD PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Leiv M Takle MD PC 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 Leiv M Takle MD PC was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.