RETINA OF AUBURN & METRO-COLUMBUS (NPI# 1780033423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780033423 |
| Entity Type | Organization |
| Organization Name | RETINA OF AUBURN & METRO-COLUMBUS |
| Practice Address |
1240 Brookstone Centre Pkwy Columbus GA 31904-2954 |
| Practice Telephone | 3077972666 |
| Mailing Telephone | 3077972666 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | RAM PEDDADA (OWNER) |
| Authorized Official Telephone | 3077972666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 067153 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1240 BROOKSTONE CENTRE PKWY |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568471803 | Ram R Peddada | Ophthalmology | 1240 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2006-08-05 |
| 1376104554 | Ophthalmic Surgery Center LLC | Ophthalmology | 1240 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053773580 | Andrew Joseph Mueller | Ophthalmology | 262 Neil Ave Ste 430, Columbus, OH 43215-7312 | 2016-03-23 |
| 1912324708 | Amanda Gibson | Ophthalmology | 2929 Kenny Rd Ste 150, Columbus, OH 43221-2458 | 2014-03-18 |
| 1396087946 | Sean Lutmer | Ophthalmology | 7667 Pine Ridge Dr, Columbus, GA 31909-2128 | 2013-03-21 |
| 1093941684 | Albert Henlay Laws | Ophthalmology | 200 4th Ave S, Columbus, MS 39701-5645 | 2009-06-09 |
| 1417131558 | Midwest Retina, Inc | Ophthalmology | 500 E Main St Ste 300, Columbus, OH 43215-5369 | 2007-12-26 |
| 1740488378 | Carissa Klaas I | Ophthalmology | 3135 Middle Dr, Columbus, IN 47203-4472 | 2007-07-05 |
| 1710050141 | Phyllis Visocan | Ophthalmology | 1669 W Lane Ave, Columbus, OH 43221-3339 | 2006-11-15 |
| 1962573808 | Heather Caroline Koelling | Ophthalmology | 2929 Kenny Road, Suite 150, Columbus, OH 43221-2415 | 2006-11-13 |
| 1265503254 | Louise Anne Doyle | Ophthalmology | 4830 Knightsbridge Blvd Ste G, Columbus, OH 43214-2300 | 2006-11-13 |
| 1114008091 | Andrea Knellinger Sawchyn | Ophthalmology | 915 Olentangy River Rd Ste 5000, Columbus, OH 43212-3154 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.