Active NPI
Western Nevada Surgical Center Inc
- Ophthalmologic Surgery Clinic/Center
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 4247ASC1
- Legal business name
- WESTERN NEVADA SURGICAL CENTER INC
- Practice address
- 1299 Mountain St
Carson City, NV 89703-3816 - Phone
- (775) 882-4477
- Fax
- (775) 882-4479
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mehdi Vazeen, MD
- Title
- Medical Director
- Phone
- (775) 882-4477
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 4247ASC1 | NV | Primary |
Addresses
Primary practice location
1299 Mountain St
Carson City, NV 89703-3816
Mailing address
1299 Mountain St
Carson City, NV 89703-3816
Phone (775) 882-4477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050930000722 | NV | Part B Supplier - Ambulatory Surgical Center | 8628003324 | Practice locations: Carson City, NV |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Western Nevada Surgical Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D1038450 | Western Nevada Surgical Center Inc | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the 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.
-
- Ophthalmology Physician
- Carson City, NV
- NPI 1982600516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222041600000",
"number": "1609862341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033816",
"telephone_number": "775-882-4477",
"fax_number": "775-882-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033816",
"telephone_number": "775-882-4477",
"fax_number": "775-882-4479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN NEVADA SURGICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2008-09-22",
"status": "A",
"authorized_official_last_name": "VAZEEN",
"authorized_official_first_name": "MEHDI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "775-882-4477",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "NV",
"license": "4247ASC1",
"primary": true
}
],
"identifiers": [],
"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 Sep 22, 2008; 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.