Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ophthalmic Surgery Center LLC

Organization Ophthalmology Physician · NPI 1376104554

Ophthalmic Surgery Center LLC is an Ophthalmology Physician in Columbus, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1240 Brookstone Centre Pkwy
Columbus, GA 31904-2954
Phone: (706) 323-8127
Fax: (706) 596-4849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmologic Surgery Clinic/Center (primary) Taxonomy 261QS0132X
Ophthalmology Physician Taxonomy 207W00000X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1376104554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Ceravolo — President · (706) 323-8127
NPI enumeratedJune 27, 2019
Last updated in NPPESNovember 21, 2019
Mailing address1240 Brookstone Centre Pkwy, Columbus, GA 31904-2954

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