Tower Clock Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TOWER CLOCK SURGERY CENTER LLC

Practice address

1077 W Mason St
Green Bay, WI 54303-1858

Phone

(920) 499-3102

Fax

(920) 499-9636

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Thompson, M.D.NPI 1659336733

Title

Ophthalmologist

Phone

(920) 499-3102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Tower Clock Surgery Center LLCCCN 52C0001096

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 2

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

• Matthew J Thompson, M.D.

  • Ophthalmology Physician
  • Green Bay, WI
  • NPI 1659336733
  NPD Authorized official
• Kunal Patel, MD

  • Ophthalmology Physician
  • Green Bay, WI
  • NPI 1922425040
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1437427333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031859",
            "telephone_number": "920-499-3102",
            "fax_number": "920-499-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031858",
            "telephone_number": "920-499-3102",
            "fax_number": "920-499-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER CLOCK SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "920-499-3102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyion Ansil Torres, M.D.
• Total Renal Care Inc
• Heather L Totman, AU.D.
• Touchback Chiropractic and Wellness Center LLC
• Tower Clock Eye Center SC
• Susan Tran, MD
• The Tran, MD
• Gena Trast
• Alyssa Ann Trawitzki, MD
• Kathleen R Treager, NP

• Ambulatory Surgical Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.