Eye Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

982 Issued in FL

Legal business name

EYE SURGICENTER LLC

Practice address

2521 NW 41St St
Gainesville, FL 32606-6630

Phone

(352) 244-0671

Fax

(352) 244-0681

NPI assigned

Sep 29, 2008

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE SURGICENTER LLCAs reported in NPPES

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

Authorized official

Name

Roderick Felix Gonzalez

Title

Administrator

Phone

(352) 244-0671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, FL
  • NPI 1336184027

  O20060228000075

  Same enrollment

Listed as

Eye Surgicenter LLCCCN 10C0001053

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Eye Surgicenter LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eye Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, FL
  • NPI 1336184027
  NPPES parent name

Practitioners 3

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.

• William Anthony Newsom, M.D.

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1891770491
  NPD
• Michael James Miyashiro, MD

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1699868844
  NPD (past)
• Thomas Hunter Newsom, MD

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1851386395
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1609026533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-244-0671",
            "fax_number": "352-244-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-244-0671",
            "fax_number": "352-244-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE SURGICENTER LLC",
        "enumeration_date": "2008-09-29",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-244-0671"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila M Eyberg, PHD
• Eye Associates of Gainesville LLC
• Eye Care Genetics
• Eye Doctors Optical Outlets PA
• Eye Surgicenter LLC
• Fonda Davis Eyler, PHD
• Matthew Eynon, RN
• Precious Eze, M.D.
• William Gerald Ezell, LMT
• Dima Ezmigna

• Ambulatory Surgical Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.