Organization Active NPI

Lake Lansing Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • East Lansing, MI
National Provider Identifier
1639868771
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAKE LANSING SURGICAL CENTER LLC
Practice address
7397 E Saginaw St
East Lansing, MI 48823-9666
Phone
(630) 886-1304
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Martha Hammond
Title
Regional ASC Director
Phone
(517) 879-6663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X

Addresses

Primary practice location

7397 E Saginaw St
East Lansing, MI 48823-9666

Mailing address

500 W Madison St Ste 3110
Chicago, IL 60661-2588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230908000898 MI Part B Supplier - Ambulatory Surgical Center 7719341874 Receives reassigned benefits from 2 practitioners
Practice locations: East Lansing, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Lake Lansing Surgical Center LLC Dba Midwest Vision Surgery Center of LansingCCN 23C0001165
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
23D2297630Lake Lansing Surgical Center, LLC7397 E Saginaw Street, East Lansing, MI 48823Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

500 W Madison St
Ste 3110
Chicago, IL 60661

7397 E Saginaw St
East Lansing, MI 48823
Phone (517) 879-6663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1639868771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MADISON ST STE 3110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7397 E SAGINAW ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239666",
            "telephone_number": "630-886-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE LANSING SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-02-06",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "REGIONAL ASC DIRECTOR",
        "authorized_official_telephone_number": "517-879-6663"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.