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

Peach State Retina, LLC

Organization Retina Specialist (Ophthalmology) Physician · NPI 1568253110

Peach State Retina, LLC is a Retina Specialist (Ophthalmology) Physician in Loganville, Georgia. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025
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

3535 Highway 81
Loganville, GA 30052-4336
Phone: (770) 520-8303
Fax: (478) 500-8205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 750 Medical Center Dr, Eastman, GA 31023-6736 — (478) 500-8022
  • 100 E Greene St, Milledgeville, GA 31061-3410 — (478) 223-9001

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1568253110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Carroll — Owner · (478) 374-7184
NPI enumeratedMay 14, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address3535 Highway 81, Loganville, GA 30052-4336

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