Organization Active NPI

Kunesh Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
National Provider Identifier
1326189499
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
106 Issued in OH
Legal business name
KUNESH EYE SURGERY CENTER
Practice address
2601 Far Hills Ave
Dayton, OH 45419-1634
Phone
(937) 298-1093
Fax
(937) 298-6344
NPI assigned
Feb 9, 2007
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Michael T Kunesh, M.D.NPI 1962543231
Title
Medical Director
Phone
(937) 298-1093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 106 OH Primary

Addresses

Primary practice location

2601 Far Hills Ave
Dayton, OH 45419-1634

Mailing address

2601 Far Hills Ave
Dayton, OH 45419-1634
Phone (937) 298-1093

Other identifiers 2

IdentifierTypeStateIssuer
0818155MedicaidOH
6820012OtherUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000791 OH Part B Supplier - Ambulatory Surgical Center 9931366234 Practice locations: Oakwood, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Kunesh Eye Surgery CenterCCN 36C0001027
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1326189499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1093",
            "fax_number": "937-298-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1093",
            "fax_number": "937-298-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNESH EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "KUNESH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-298-1093",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0818155",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6820012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.