Sun City Ophthalmology ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC0026 Issued in AZ

Legal business name

SUN CITY OPHTHALMOLOGY ASC LLC

Doing business as

Eye Institute at Boswell

Practice address

10541 W Thunderbird Blvd
Sun City, AZ 85351-3006

Phone

(623) 933-3402

Fax

(623) 972-5014

NPI assigned

Feb 6, 2006

Last updated

Sep 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Institute at Boswell Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Eye Institute at Boswell Dba Sun City EyeCCN 03C0001021

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

Member of 1

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

• Banner Arizona Medical Clinic LTD

  • Durable Medical Equipment & Medical Supplies
  • Peoria, AZ
  • NPI 1487785002

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1578535233",
    "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": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10541 W THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513006",
            "telephone_number": "623-933-3402",
            "fax_number": "623-972-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC0026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "490003677",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Institute at Boswell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Institute at Boswell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sun City Fire District
• Sun City Fish LLC (Home Instead)
• Sun City Imaging, P.C.
• Sun City Internal Medicine PLLC
• Sun City of Cascadia LLC (Boswell Transitional Care of Cascadia)
• Sun City Pathologists
• Sun City Senior Care
• Sun City SNF Healthcare, LLC (Sun City Post Acute)
• Sun City Surgical
• Sun Desert Dialysis LLC (Desert Dialysis)

• Ambulatory Surgical Clinic/Center in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.