Eye Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in OH

Legal business name

EYE SURGICAL CENTER, LLC

Practice address

800 McKinley Ave NW
Canton, OH 44703-2463

Phone

(330) 452-8884

Fax

(330) 452-2404

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

John Malik

Title

Administrator

Phone

(330) 966-1111

Specialties & licenses 1

Addresses

Other names 1

• The Institute for Refractive and Intraocular Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Eye Surgical Center LLCCCN 36C0001215

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

Locations

Practitioners 5

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

• Laurence J Karns, MD

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1871592584
  Medicare reassignment
• Jerry Irving Macher, MD

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1134128861
  Medicare reassignment
• Michael L Smit, DO

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1952395352
  Medicare reassignment
• Paul W Turgeon, MD

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1386643104
  NPD
• David W Nelson, MD

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1407855661
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1306885256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-452-8884",
            "fax_number": "330-452-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-452-8884",
            "fax_number": "330-452-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-966-1111"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Institute for Refractive and Intraocular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick Everett
• Isiaha Everette
• Excellence Expected Home Health Services LLC
• Expanding Hearts LLC
• Eye Centers of Ohio, Inc
• Eyes on Stark Surgery Center, LLC
• Erik Eyring, CRNA
• Carlos E. Fabre, M.D.
• Katherine Facaros, D.P.M
• Thameenah Z Faheem

• Ambulatory Surgical Clinic/Center in Canton, OH
• Providers in Canton, 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 Jan 27, 2015; 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.