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Peach State Retina, LLC

Retina Specialist (Ophthalmology) Physician in Loganville, GA · enumerated 2025 · authorized official William Carroll, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568253110

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Registry record

Entity type Organization (Type 2)
Legal business name Peach State Retina, LLC
Practice address 3535 Highway 81, Loganville, GA, 30052
Phone (770) 520-8303
Fax (478) 500-8205
Enumeration date May 14, 2025
Last updated in NPPES Oct 27, 2025

Taxonomy & classification

207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name William Carroll
Title Owner
Phone (478) 374-7184

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Peach State Retina, LLC located?
The practice location on file with NPPES is in Loganville, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-27. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-27.