Eye Surgery Center of Western Ohio LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYE SURGERY CENTER OF WESTERN OHIO LLC

Practice address

855 W Market St
Lima, OH 45805-2795

Phone

(419) 228-9991

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey E. Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eye Surgery Center of Western Ohio Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Eye Surgery Center of Western Ohio LLCCCN 36C0001105

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 1

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

• Chan-Chou Chuang, M.D., FCCP, FACP

  • Critical Care Medicine (Internal Medicine) Physician
  • Rancho Palos Verdes, CA
  • NPI 1073589248
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1528035367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052795",
            "telephone_number": "419-228-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF WESTERN OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077765",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center of Western Ohio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Surgery Center of Western Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Michael Evans, D.C.
• Ronald L Evilsizor, OD
• Megan L Ewing, APRN, CNP
• Robert Edwin Exten Jr., MD
• Eye Site of Lima
• Nonso Andrew Ezema, M.D.
• Stanley Eziukwu, MD
• Kristy Ellen Faddis
• Stacy L Fahlsing, DR.
• Stephanie Marie Fall, RN

• Ambulatory Surgical Clinic/Center in Lima, OH
• Providers in Lima, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.