Eye Surgery Center of Northern Nevada, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in NV

Legal business name

EYE SURGERY CENTER OF NORTHERN NEVADA, LLC

Practice address

5420 Kietzke LN
Suite 103
Reno, NV 89511-2061

Phone

(775) 329-2300

Fax

(775) 329-5514

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By 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

Dr. David B Chaffin, M.D.NPI 1033126883

Title

Medical Director

Phone

(775) 329-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

Eye Surgery Center of Northern NevadaCCN 29C0001066

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.

• David B Chaffin, MD

  • Ophthalmology Physician
  • Reno, NV
  • NPI 1033126883
  Authorized official Same address or phone
• Steve H Chang, M.D.

  • Ophthalmology Physician
  • Reno, NV
  • NPI 1801986625
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659594307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN",
            "address_2": "SUITE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112061",
            "telephone_number": "775-329-2300",
            "fax_number": "775-329-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN",
            "address_2": "SUITE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112061",
            "telephone_number": "775-329-2300",
            "fax_number": "775-329-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF NORTHERN NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-329-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kenneth Ewing II, D.O.
• Excel Foster Care Agency
• Excellence Home Care Services
• Expressions Behavioral Health Services, Inc.
• Eye Care Professionals
• Eyemart Express LLC
• Eyemart Express LTD
• Eyetech Visioncare, LTD.
• Eyeworld, L.L.C.
• Eyezone, Inc.

• Ambulatory Surgical Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.