Dayton Eye Surgery Center L L C

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0553AS Issued in OH

Legal business name

DAYTON EYE SURGERY CENTER L L C

Doing business as

Dayton Eye Surgery Center

Practice address

81 Sylvania Dr
Dayton, OH 45440-3237

Phone

(937) 431-9531

Fax

(937) 431-9532

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Andrea Weisenburgh

Title

Don/Administrator

Phone

(937) 431-9531

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Dayton Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Dayton Eye Surgery CenterCCN 36C0001126

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kettering Medical Center

  • Long Term Care Pharmacy
  • Miamisburg, OH
  • NPI 1205005063

  Member Of

  NPD member

Locations

Practitioners 1

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

• Daniel Juergens, MD

  • Specialist
  • Dayton, OH
  • NPI 1801815303
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1235285628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403237",
            "telephone_number": "937-431-9531",
            "fax_number": "937-431-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403237",
            "telephone_number": "937-431-9531",
            "fax_number": "937-431-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON EYE SURGERY CENTER L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "WEISENBURGH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DON/ADMINISTRATOR",
        "authorized_official_telephone_number": "937-431-9531"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0553AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490004334",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6800130",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138449",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "64394",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayton Eye Associates Inc
• Dayton Eye Associates Inc
• Dayton Eye Associates Inc
• Dayton Eye Associates, Inc
• Dayton Eye Associates, Inc.
• Dayton Eyecare, Inc
• Dayton Family Practice Associates Inc
• Dayton Gastroenterology LLC
• Dayton Glaucoma and Cataract Consultants
• Dayton Head and Neck Surgeons

• Ambulatory Surgical Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.