Organization Active NPI

Grene Surgery Center LLC

Doing business as EyeCare Partners Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
National Provider Identifier
1548940984
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GRENE SURGERY CENTER LLC
Doing business as
EyeCare Partners Surgery Center
Practice address
1821 N Webb Rd
Ste 101
Wichita, KS 67206-3434
Phone
(316) 684-5158
NPI assigned
Jul 20, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Joseph Gira, MDNPI 1861481152
Title
Chief Medical Officer
Phone
(636) 200-4393

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 Primary

Addresses

Primary practice location

1821 N Webb Rd
Ste 101
Wichita, KS 67206-3434

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 227-2600

Other names 1

  • EyeCare Partners Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913003541 KS Part B Supplier - Ambulatory Surgical Center 6608230388 Practice locations: Wichita, KS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Grene Surgery Center LLC Dba Eyecare Partners Surgery CenterCCN 17C0001903
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2286050Eyecare Partners Surgery Center1821 N Webb Rd Suite 101 - First Floor, Wichita, KS 67206Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1821 N Webb Rd
Ste 101
Wichita, KS 67206
Phone (316) 684-5158

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1548940984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-227-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N WEBB RD",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063434",
            "telephone_number": "316-684-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-09-18",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "636-200-4393",
        "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": "EyeCare Partners Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EyeCare Partners Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.