Active NPI
New Vision Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
National Provider Identifier
1063701977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1345
- Legal business name
- NEW VISION SURGICAL CENTER, LLC
- Practice address
- 1055 37TH PL
Vero Beach, FL 32960-6551 - Phone
- (772) 257-8700
- Fax
- (772) 257-8715
- NPI assigned
- Mar 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Victor Minotty, MD
- Title
- Manager
- Phone
- (772) 257-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1345 | FL | Primary |
Addresses
Primary practice location
1055 37TH PL
Vero Beach, FL 32960-6551
Mailing address
1055 37TH PL
Vero Beach, FL 32960-6551
Phone (772) 257-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10C0001563 | Other | FL | MEDICARE ASC IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110509000345 | FL | Part B Supplier - Ambulatory Surgical Center | 2961688965 | Practice locations: Vero Beach, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- New Vision Surgical Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2023031 | New Vision Surgical Center LLC | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Vero Beach, FL
- NPI 1972839983
-
- Ophthalmology Physician
- Palm Beach Gardens, FL
- NPI 1881199768
-
- Ophthalmology Physician
- Vero Beach, FL
- NPI 1780736975
-
- Ophthalmology Physician
- Lakewood, CA
- NPI 1386860575
-
- Certified Registered Nurse Anesthetist
- Akron, OH
- NPI 1124024633
-
- Glaucoma Specialist (Ophthalmology) Physician
- East Lansing, MI
- NPI 1861423899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1063701977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 37TH PL",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606551",
"telephone_number": "772-257-8700",
"fax_number": "772-257-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 37TH PL",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606551",
"telephone_number": "772-257-8700",
"fax_number": "772-257-8715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISION SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-31",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "MINOTTY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "772-257-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "1345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ASC IDENTIFICATION NUMBER",
"identifier": "10C0001563",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.