SOUTHEAST RETINA CENTER PC – Ophthalmology Physician, NPI 1760467682
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHEAST RETINA CENTER PC
111 Fieldstone Dr
Ste 100
Milledgeville, GA 310617108
Phone: (706) 650-0061
Type: Location
3685, Wheeler Road, Augusta, Richmond County, Georgia, 30909, United States
STE 201
AUGUSTA, GA 30909
Phone: (706) 650-0061
Fax: (706) 650-0064
Type: Mailing
1000 Cowles Clinic Way Ste E-100
Greensboro, GA 306424514
Phone: (706) 650-0061
Type: Location
6061 Lake Oconee Pkwy
Greensboro, GA 306423798
Phone: (706) 650-0061
Type: Location
111 Fieldstone Dr Ste 100
Milledgeville, GA 310617108
Phone: (706) 650-0061
Type: Location
311 Fluker St
Thomson, GA 308242108
Phone: (706) 650-0061
Type: Location
274 Big A Rd
Toccoa, GA 305776002
Phone: (706) 650-0061
Type: Location
25 East Sq
Washington, GA 306731517
Phone: (706) 650-0061
Type: Location
410 University Pkwy Ste 1500A
Aiken, SC 298016847
Phone: (706) 650-0061
Type: Location
PO BOX 11407
BIRMINGHAM, AL 352468575
Phone: (864) 359-1308
Fax: (239) 496-3939
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
2
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040601000686 | O | Clinic/Group Practice | GA | 2023-07-31 |
| O20041011000559 | O | Clinic/Group Practice | SC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31061)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.