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

Takle Eye Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1740776517

Takle Eye Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Locust Grove, Georgia. Registered with an NPI since 2018.

In the registry since
2018
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

1075 Bandy Pkwy Ste 105
Locust Grove, GA 30248
Phone: (770) 228-3836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1740776517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leiv Takle — Owner · (770) 228-3836
NPI enumeratedJuly 5, 2018
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248-7036

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