Eye Surgical Associates, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

22765 Issued in NE

Legal business name

EYE SURGICAL ASSOCIATES, LLC

Practice address

1710 S 70TH St
Lincoln, NE 68506

Phone

(402) 484-9000

Fax

(402) 483-4223

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Gregory E Sutton, MDNPI 1023016656

Title

Group President

Phone

(402) 484-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sutton Skin and Eye Clinic PC

  • Dermatology Physician
  • Lincoln, NE
  • NPI 1881690261

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: cargo@esane.intellechartdirect.net
• Direct secure messaging: alambert@esane.intellechartdirect.net

Practitioners 46

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

• Gregory E Sutton, MD

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1023016656
  Medicare reassignment Care Compare group Authorized official
• Colby Argo, MD

  • Ophthalmology Physician
  • Blue Ash, OH
  • NPI 1194221739

  KS, NE

  Medicare reassignment Care Compare group NPD
• Daniel Andrew Chruscicki, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1861666463

  KS

  Medicare reassignment Care Compare group
• Thomas J E Clark, MD

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1144632183
  Medicare reassignment Care Compare group
• Thomas A Graul, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1417954181

  KS

  Medicare reassignment Care Compare group
• Kaylyn R Jackman, OD

  • Optometrist
  • Lincoln, NE
  • NPI 1871590778
  Medicare reassignment Care Compare group
• Jordan James Rixen, MD

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1497985642
  Medicare reassignment Care Compare group
• Donald Paul Sauberan, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1023002847
  Medicare reassignment Care Compare group
• Vincent J Sutton, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1134126030
  Medicare reassignment Care Compare group
• Samuel Thomsen, MD

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1952788481

  KS

  Medicare reassignment Care Compare group
• Matthew H Wood, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1457359085
  Medicare reassignment Care Compare group
• Alexis McCurdy, OD

  • Optometrist
  • Lincoln, NE
  • NPI 1790463024
  Medicare reassignment NPD

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1417952995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6068",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060068",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "402-484-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "22765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025619700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CI9011",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Extendcare the Pharmacy Inc
• Extended Families of Nebraska, LLC
• Lynette Denea Exum, MD
• Eyecare Associates, P.C.
• Eyecare Specialties PC
• Eyecare Specialties PC
• Eyecare Specialties PC
• Eyecare Specialties PC of Lincoln

• Ophthalmology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Ophthalmology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.