Organization Active NPI

Eye Surgery Center of Nevada

  • Ambulatory Surgical Clinic/Center
  • Carson City, NV
National Provider Identifier
1528064854
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
473ASC-7 Issued in NV
Legal business name
EYE SURGERY CENTER OF NEVADA
Practice address
3839 N Carson St
Carson City, NV 89706-1935
Phone
(775) 882-3950
Fax
(775) 882-1726
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Michael John Fischer, M.D.NPI 1588660815
Title
Administrator
Phone
(775) 882-3950

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 473ASC-7 NV Primary

Addresses

Primary practice location

3839 N Carson St
Carson City, NV 89706-1935

Mailing address

PO Box 2005
Carson City, NV 89702-2005
Phone (775) 882-3950

Other identifiers 1

IdentifierTypeStateIssuer
004613002MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1528064854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022005",
            "telephone_number": "775-882-3950",
            "fax_number": "775-882-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061935",
            "telephone_number": "775-882-3950",
            "fax_number": "775-882-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-882-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "473ASC-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004613002",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.