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TAKLE EYE SURGERY CENTER LLC
NPI 1740776517
Clinic/Center - Ambulatory Surgical in Locust Grove, GA

Active since July 05, 2018CLIA 11D2160341 · Waiver
1075 BANDY PKWY, STE 105, LOCUST GROVE, GA 30248(770) 228-3836 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2021, Nov 18, 2019, Jul 5, 2018 (3 updates tracked since 2018).

About Takle Eye Surgery Center Llc NPPES

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

TAKLE EYE SURGERY CENTER LLC (NPI 1740776517) is a healthcare organization registered as an ambulatory surgical in Locust Grove, Georgia and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Leiv M Takle, Owner, as its authorized official.

NPPES Registry Identity

NPI1740776517
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTAKLE EYE SURGERY CENTER LLC
Location Address1075 BANDY PKWY, STE 105Locust Grove, GA 30248
Mailing Address1075 Bandy Pkwy Ste 105Locust Grove, GA 30248-7036 · (770) 282-3590
Phone(770) 228-3836
Organization SubpartNo
Authorized OfficialLeiv M TakleOwner · (770) 228-3836
Enumeration DateJuly 5, 2018
Last NPPES UpdateJuly 19, 20213 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1740776517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1075 BANDY PKWY, Locust Grove, GA 30248
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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 11D2160341

Takle Eye Surgery Center, LLC · Locust Grove, GA
Active · expires Jan 8, 2027
CLIA Number11D2160341
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorAudrey M. Waits
Laboratory Phone(770) 228-3836
Laboratory LocationTakle Eye Surgery Center, LLC1075 Bandy Parkway, Suite 105, Locust Grove, GA 30248
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 4

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.

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.
368 services213 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.
156 services104 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
41 services21 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.
31 services24 patients

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 Takle Eye Surgery Center LLC's NPI number?

The NPI number for Takle Eye Surgery Center LLC is 1740776517. It was assigned to this organization in the NPPES registry on July 5, 2018.

Where is Takle Eye Surgery Center LLC located?

Takle Eye Surgery Center LLC is located at 1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248. The listed phone number is (770) 228-3836.

What is Takle Eye Surgery Center LLC's specialty?

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

Does Takle Eye Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2160341) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Takle Eye Surgery Center LLC was last updated on July 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.