Eye Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

982 Issued in FL

Legal business name

EYE SURGICENTER LLC

Practice address

2521 NW 41St St
Gainesville, FL 32606-6630

Phone

(352) 377-7733

Fax

(352) 377-9577

NPI assigned

Jun 18, 2006

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roderick F Gonzalez

Title

Administrator

Phone

(352) 377-7733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, FL
  • NPI 1609026533

  O20060228000075

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Eye Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, FL
  • NPI 1609026533
  NPPES parent name

Practitioners 1

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.

• William Anthony Newsom, M.D.

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1891770491
  NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1336184027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733",
            "fax_number": "352-377-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733",
            "fax_number": "352-377-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-377-7733"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extra Mile Physical Therapy
• Sheila M Eyberg, PHD
• Eye Associates of Gainesville LLC
• Eye Care Genetics
• Eye Doctors Optical Outlets PA
• Eye Surgicenter LLC
• Fonda Davis Eyler, PHD
• Matthew Eynon, RN
• Precious Eze, M.D.
• William Gerald Ezell, LMT

• Ambulatory Surgical Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.