SOUTHEAST RETINA CENTER PC
NPI 1760467682
Ophthalmology in Augusta, GA

Q: What is Southeast Retina Center PC's NPI number?

The NPI number for Southeast Retina Center PC is 1760467682. It was assigned to this organization in the NPPES registry on December 14, 2005.

Q: What is Southeast Retina Center PC's specialty?

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

Active since December 14, 2005

3685 WHEELER RD, STE 201, AUGUSTA, GA 30909(706) 650-0061(706) 650-0064 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2026, Apr 10, 2026, Mar 24, 2026 and 3 more (6 updates tracked since 2016).

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About Southeast Retina Center Pc NPPES

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

SOUTHEAST RETINA CENTER PC (NPI 1760467682) is a healthcare organization registered as an ophthalmology in Augusta, Georgia and active in the NPI registry since December 2005. The organization maintains 3 additional practice locations and lists Kevin Becker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760467682

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameSOUTHEAST RETINA CENTER PC

Location Address3685 WHEELER RD, STE 201Augusta, GA 30909-6440

Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308 · Fax (239) 496-3939

Phone(706) 650-0061

Fax(706) 650-0064

Organization SubpartNo

Authorized OfficialKevin BeckerCfo · (470) 243-2259

Enumeration DateDecember 14, 2005

Last NPPES UpdateApril 28, 20266 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1760467682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3685 WHEELER RD, Augusta, GA 30909

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Secondary Practice Locations 3

Location 1311 Fluker StThomson, GA 30824-2108 · Phone (706) 650-0061

Location 2111 Fieldstone Dr, Ste 100Milledgeville, GA 31061-7108 · Phone (706) 650-0061

Location 36061 Lake Oconee PkwyGreensboro, GA 30642-3798 · Phone (706) 650-0061

Other Identifiers 3

MedicaidGPA 668SC

Medicaid000293719AGA

Medicaid000605283BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Southeast Retina Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southeast Retina Center PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Dennis Marcus, M.D.

Ophthalmology

NPI 1851376776

3685 WHEELER RD SUITE 201
Augusta, GA 30909

(706) 650-0061

✔ PECOS✔ Accepts MedicareSame address

Tomasz Wiraszka, MD

Ophthalmology

NPI 1346477114

3685 WHEELER RD STE 201
Augusta, GA 30909

(706) 650-0061

✔ PECOS✔ Accepts MedicareSame address

Harinderjit Singh, M.D.

Ophthalmology

NPI 1235115890

3685 WHEELER RD STE 201
Augusta, GA 30909

(706) 650-0061

✔ PECOS✔ Accepts MedicareSame address

Doan Bloomquist, M.D

Ophthalmology

NPI 1700178308

1120 15TH ST
Augusta, GA 30912

(404) 625-8732

✔ PECOS✔ Accepts Medicare6.3 mi

Diego Espinosa-Heidmann, M.D.

Ophthalmology

NPI 1891913380

10 ENTERPRISE BLVD STE 111
Greenville, SC 29615

(864) 654-6706

✔ PECOS✔ Accepts Medicare96 mi

Kunyong Xu, MD

Ophthalmology

NPI 1356877781

1750 E GLENDALE AVE
Phoenix, AZ 85020

(602) 242-4928

✔ PECOS✔ Accepts Medicare1,723 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 Southeast Retina Center PC's NPI number?

The NPI number for Southeast Retina Center PC is 1760467682. It was assigned to this organization in the NPPES registry on December 14, 2005.

Where is Southeast Retina Center PC located?

Southeast Retina Center PC is located at 3685 Wheeler Rd Ste 201, Augusta, GA 30909. The listed phone number is (706) 650-0061.

What is Southeast Retina Center PC's specialty?

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

Is Southeast Retina Center PC enrolled in Medicare?

Yes. Southeast Retina Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Retina Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Ophthalmology, reassign their Medicare billing to Southeast Retina Center 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Retina Center PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Southeast Retina Center 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 Southeast Retina Center PC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.