Organization
EYE PHYSICIANS AND SURGEONS OF AUGUSTA, PC
Active
Other names
Eye Guys
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ALAN BERTRAM M.D. (PRESIDENT)
(706) 651-2020
Entity
Organization
Contact information
Practice address
1330 INTERSTATE PKWY, AUGUSTA, GA 30909-5625
(706) 651-2020
(706) 651-2032
Mailing address
1330 INTERSTATE PKWY, AUGUSTA, GA 30909-5625
(706) 651-2020
(706) 651-2032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40138
AVESIS PIN
GA
01
—
52748856
BCBS OF GA-OPTICAL NUMBER
—
Enumeration date
12/13/2006
Last updated
08/12/2019
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