Organization Active NPI

Hillmoor Eye Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1336165091
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
914 Issued in FL
Legal business name
HILLMOOR EYE SURGERY CENTER, INC.
Doing business as
One Day Surgery
Practice address
1715 SE Tiffany Ave
Port St Lucie, FL 34952-7520
Phone
(772) 335-7005
Fax
(772) 335-3394
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Mrs. Eileen M Gorman
Title
Business Manager
Phone
(772) 335-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 914 FL Primary

Addresses

Primary practice location

1715 SE Tiffany Ave
Port St Lucie, FL 34952-7520

Mailing address

PO Box 9077
Port St Lucie, FL 34985-9077
Phone (772) 335-7005

Other identifiers 2

IdentifierTypeStateIssuer
075525700MedicaidFL
699OtherFLBLUE CROSS

Other names 1

  • One Day Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1336165091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9077",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349859077",
            "telephone_number": "772-335-7005",
            "fax_number": "772-335-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SE TIFFANY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527520",
            "telephone_number": "772-335-7005",
            "fax_number": "772-335-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLMOOR EYE SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "772-335-7005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075525700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "699",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Day Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.