Eye Surgery Center of Wichita, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

SO87004 Issued in KS

Legal business name

EYE SURGERY CENTER OF WICHITA, LLC

Practice address

6100 E Central Ave Ste 5
Wichita, KS 67208-4237

Phone

(316) 681-2020

Fax

(316) 684-4939

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrrey E. Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Team Vision Surgery Center Doing business as

Listed as

Eye Surgery Center of Wichita LLCCCN 17C0001014

Medicare certification status

Terminated Voluntary: merger or closure, Mar 15, 2024From the Provider of Services file

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1336184993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-665-1283",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 E CENTRAL AVE STE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084237",
            "telephone_number": "316-681-2020",
            "fax_number": "316-684-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFRREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "KS",
            "license": "SO87004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPK & PHS",
            "identifier": "1181",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490004218",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100343550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Vision Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eye Associates of Wichita PA
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• Eye Connect Vision Therapy
• Eye Studio
• Eye Surgery Center of Wichita, LLC
• Eyemart Express LLC
• Eyemart Express LLC
• Eyewear Junkie
• Eyeworks Eyewear Shoppe
• Robert Lamar Eyster, M.D.

• Ophthalmologic Surgery Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Ophthalmologic Surgery Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.