Andersen Eye Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ANDERSEN EYE SURGERY CENTER, LLC

Practice address

5161 Cardinal Park Drive
Saginaw, MI 48604

Phone

(989) 249-1018

Fax

(989) 249-1054

NPI assigned

May 18, 2006

Organization subpart

No

Name

Alicia Tina O'Connor, MBA

Title

Ceo

Phone

(989) 341-7047

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

• Jeffery J Hanover, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, MI
  • NPI 1942390661

  MI

  Medicare reassignment NPD
• Courtney R Hills, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, MI
  • NPI 1982914149

  MI

  Medicare reassignment NPD
• Susan Wells Hutter, CRNA

  • Certified Registered Nurse Anesthetist
  • Saginaw, MI
  • NPI 1669554416

  MI

  Medicare reassignment NPD
• Brenda S Linzner

  • Certified Registered Nurse Anesthetist
  • Saginaw, MI
  • NPI 1700924651

  MI

  Medicare reassignment NPD
• Lois L Robertson, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, MI
  • NPI 1225128960

  MI

  Medicare reassignment NPD
• Kristin Michelle Short, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, MI
  • NPI 1730414079

  MI

  Medicare reassignment NPD
• Tammy Lynn Weckerly, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, MI
  • NPI 1376944371

  MI

  Medicare reassignment NPD
• Gregory C Hazen, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1174528863
  NPD (past)
• Susan M Perdue, OD

  • Optometrist
  • Birch Run, MI
  • NPI 1386635050
  NPD (past)
• Miriam T Schteingart, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1639174725
  NPD (past)

Listed as

Andersen Eye Surgery Center LLCCCN 23C0001073

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

Medicare fee-for-service enrollment

Enrolled in MI

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2024.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1124071550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 CARDINAL PARK DR.",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-249-6270",
            "fax_number": "989-249-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 CARDINAL PARK DRIVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-249-1018",
            "fax_number": "989-249-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSEN EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-02-19",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-341-7047",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andersen Eye Associates, PLC
• Andersen Eye Associates, PLC
• Andersen Eye Associates, PLC
• Andersen Eye Associates, PLC
• Andersen Eye Prosthetics LLC
• Alexander Anderson, PA-C
• Andrea Maria Anderson
• Clyde Anderson III
• Elise Anderson
• Isabella Anderson

• All providers in Saginaw, MI
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.