Surgery Center of Eye Specialists of Indiana, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF EYE SPECIALISTS OF INDIANA, PC

Practice address

1950 W 86TH St
Indianapolis, IN 46260-2076

Phone

(317) 925-2200

NPI assigned

Feb 5, 2014

Organization subpart

No

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

Authorized official

Name

Paul Louis WaltonNPI 1912905423

Title

Ceo/ Owner

Phone

(317) 925-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Ambulatory surgical center certification: CCN 15C0001197

Legal name

SURGERY CENTER OF EYE SPECIALISTS OF INDIANA, PC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 18, 2015

Last certification

Nov 18, 2015

Ownership / control type

Proprietary

Facility address

1950 W 86TH Street
Indianapolis, IN 46260

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Surgery Center of Eye Specialists of Indiana, PC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1477633071

  7315085362

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eye Specialists of Indiana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surgery Center of Eye Specialists of Indiana, PC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1477633071
  NPD tax ID

Practitioners 4

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

• Paul Louis Walton, MD

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1912905423
  Medicare reassignment NPD Authorized official
• Bret M Lehman, O.D., M.S., F.A.A.O.

  • Optometrist
  • Indianapolis, IN
  • NPI 1285865139
  Medicare reassignment NPD
• William Robert Shultz, M.D.

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1437357936
  Medicare reassignment NPD
• Clark L Springs, MD

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1538160858

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1306260815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602076",
            "telephone_number": "317-925-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF EYE SPECIALISTS OF INDIANA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "317-925-2200"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Surbey, MSW
• Matthew J. Surburg, MD
• Erin Lynn Surdey, PT, DPT, OCS
• Surefire Enterprises LLC
• Whitney Surface, OTR
• Surgery Center of Eye Specialists of Indiana, PC
• Surgery Center of Indianapolis LLC
• Surgery Center Plus Inc
• Surgery Center Plus, Inc (Hernia Center Plus)
• Surgical Care Center, Inc.

• Ambulatory Surgical Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.