Organization Active NPI

Sarasota Ophthalmology ASC LLC

Doing business as Center for Advanced Eye Surgery

  • Ambulatory Surgical Clinic/Center
  • Sarasota, FL
National Provider Identifier
1164495198
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
787 Issued in FL
Legal business name
SARASOTA OPHTHALMOLOGY ASC LLC
Doing business as
Center for Advanced Eye Surgery
Practice address
3920 Bee Ridge Rd
BLDG F, Suite C
Sarasota, FL 34233-1207
Phone
(941) 925-0000
Fax
(941) 927-2726
NPI assigned
Feb 9, 2006
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Ms. Billie A Payne
Title
President
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 787 FL Primary

Addresses

Primary practice location

3920 Bee Ridge Rd
BLDG F, Suite C
Sarasota, FL 34233-1207

Mailing address

3920 Bee Ridge Rd
BLDG F, Suite C
Sarasota, FL 34233-1207
Phone (941) 925-0000

Other identifiers 2

IdentifierTypeStateIssuer
490005025OtherFLRAILROAD MEDICARE
070947600MedicaidFL

Other names 1

  • Center for Advanced Eye Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080620000140 FL Part B Supplier - Ambulatory Surgical Center 1456422344 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sarasota Ophthalmology ASC LLCCCN 10C0001215
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1164495198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BLDG F, SUITE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-925-0000",
            "fax_number": "941-927-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BLDG F, SUITE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-925-0000",
            "fax_number": "941-927-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005025",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070947600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advanced Eye Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.