Organization
EYE CENTER OF CENTRAL GEORGIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BECKER (CFO)
(914) 391-4921
Entity
Organization
Contact information
Practice address
1429 OGLETHORPE ST, MACON, GA 31201-1512
(478) 743-7061
(478) 743-6296
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55000065A
—
GA
01
—
CC3213
RAILROAD MEDICARE
GA
Enumeration date
02/13/2006
Last updated
04/28/2026
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