Midwest Eye Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC016 Issued in NE

Legal business name

MIDWEST EYE SURGERY CENTER, LLC

Practice address

4353 Dodge St
Lower Level
Omaha, NE 68131-2709

Phone

(402) 552-2020

Fax

(402) 552-2367

NPI assigned

Jan 16, 2006

Last updated

Apr 16, 2014By 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

Mark Emig, MDNPI 1235111212

Title

Ophthalmologist

Phone

(402) 552-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Midwest Eye Surgery Center LLCCCN 28C0001025

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

Locations

Practitioners 2

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.

• Mark Dale Emig, MD

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1235111212
  Authorized official Same address or phone
• David D Ingvoldstad, MD

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1922088673
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1598744732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 DODGE ST",
            "address_2": "LOWER LEVEL",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312709",
            "telephone_number": "402-552-2020",
            "fax_number": "402-552-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 DODGE ST",
            "address_2": "LOWER LEVEL",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312709",
            "telephone_number": "402-552-2020",
            "fax_number": "402-552-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "EMIG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "402-552-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534699",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Eye Care PC
• Midwest Eye Care PC
• Midwest Eye Care PC
• Midwest Eye Care, PC
• Midwest Eye Care, PC
• Midwest Family Physicians. PC
• Midwest Family Services
• Midwest Foot & Ankle, P.C.
• Midwest Gastrointestinal Associates PC (Midwest Gastrointestinal Associates)
• Midwest Hematology Oncology Specialist, P.C.

• Ambulatory Surgical Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.