Active NPI
Eye Surgical Services LLC
- Ambulatory Surgical Clinic/Center
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EYE SURGICAL SERVICES LLC
- Doing business as
- Gateway Surgery Center
- Practice address
- 10296 Big Bend Rd Ste 100
Saint Louis, MO 63122-6425 - Phone
- (314) 735-0200
- NPI assigned
- Jun 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Navin Tekwani, MD
- Title
- Medical Director
- Phone
- (314) 735-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
10296 Big Bend Rd Ste 100
Saint Louis, MO 63122-6425
Mailing address
10296 Big Bend Rd Ste 100
Saint Louis, MO 63122-6425
Phone (314) 735-0200
Other names 1
- Gateway Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210723000647 | MO | Part B Supplier - Ambulatory Surgical Center | 2961805213 | Practice locations: Saint Louis, MO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eye Surgical Services LLC Dba Gateway Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2228561 | Eye Surgical Services Dba Gateway Surgery Center | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Eye Surgical Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Paradise Valley, AZ
- NPI 1619557519
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1538143805
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1265631568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652400000000",
"number": "1487221404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10296 BIG BEND RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631226425",
"telephone_number": "314-735-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10296 BIG BEND RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631226425",
"telephone_number": "314-735-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SURGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "TEKWANI",
"authorized_official_first_name": "NAVIN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "314-735-0200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.