Organization
MACON EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA STONE (CREDENTIALING SPECIALIST)
(478) 551-4642
Entity
Organization
Contact information
Practice address
864 1ST ST, MACON, GA 31201-6875
(478) 259-2481
(478) 812-4028
Mailing address
PO BOX 6908, WARNER ROBINS, GA 31095-6908
(478) 551-4642
(478) 929-6266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
02/17/2026
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