Phoenix Eye Surgical Center PLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHOENIX EYE SURGICAL CENTER PLC

Practice address

5133 N Central Ave
Suite 100
Phoenix, AZ 85012-1438

Phone

(602) 279-0044

Fax

(602) 279-0088

NPI assigned

Aug 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Don Baca

Title

Manager

Phone

(602) 279-0044

Specialties & licenses 3

Addresses

Other names 1

• Central Phoenix Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Phoenix Eye Surgical Center PLCCCN 03C0001023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert R McCulloch, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1245224211
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1013021682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-279-0044",
            "fax_number": "602-279-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-279-0044",
            "fax_number": "602-279-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EYE SURGICAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-279-0044"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Phoenix Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Endocrinology Clinic LTD
• Phoenix Endodontic Center LLC
• Phoenix Endoscopy LLC
• Phoenix Ethics Consulting, LLC
• Phoenix Eye Care PLLC
• Phoenix Family Care LLC
• Phoenix Family Medical Care PLLC
• Phoenix Family Medicine, PC
• Phoenix Family Physicians, LTD.
• Phoenix Family Wellness PLLC

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.