Eye Surgery Center of Wichita, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

SO87009 Issued in KS

Legal business name

EYE SURGERY CENTER OF WICHITA, LLC

Doing business as

Team Vision Surgery Centers

Practice address

834 N Socora St
Wichita, KS 67212-3238

Phone

(316) 729-6000

Fax

(316) 729-6241

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy L Brown, R.N.

Title

Administrative Director

Phone

(316) 681-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Team Vision Surgery Centers Doing business as

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225064785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084237",
            "telephone_number": "316-681-2020",
            "fax_number": "316-684-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123238",
            "telephone_number": "316-729-6000",
            "fax_number": "316-729-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "316-681-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "KS",
            "license": "SO87009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPK & PHS",
            "identifier": "1181",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Vision Surgery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Extravagant Care
• Eye Associates of Wichita PA
• Eye Care Associates of Wichita, P.a.
• Eye Connect Vision Therapy
• Eye Studio (The Eye Studio)
• Eye Surgery Center of Wichita, LLC (Team Vision Surgery Center)
• Eyemart Express LLC
• Eyemart Express LLC
• Eyewear Junkie
• Eyeworks Eyewear Shoppe

• Ophthalmologic Surgery Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Ophthalmologic Surgery Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.