Freedom Vision Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000916 Issued in CA

Legal business name

FREEDOM VISION SURGERY CENTER LLC

Practice address

16255 Ventura Blvd
#100
Encino, CA 91436-2302

Phone

(818) 783-2346

Fax

(818) 783-5048

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Lynch

Title

Administrator

Phone

(818) 788-2346

Specialties & licenses 1

Addresses

Other names 1

• Freedom Vision Surgery Center LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Freedom Vision Surgery Center LLCCCN 05C0001418

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

Practitioners 2

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

• Ganesha Ramana Kandavel, M.D.

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1366533846
  NPD
• Mitchell C Shultz, M.D.

  • Ophthalmology Physician
  • Northridge, CA
  • NPI 1427153022
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1669414306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "address_2": "#100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362302",
            "telephone_number": "818-783-2346",
            "fax_number": "818-783-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "address_2": "#100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362302",
            "telephone_number": "818-783-2346",
            "fax_number": "818-783-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM VISION SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-788-2346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Vision Surgery Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bonnie K. Franklin, M.F.T.
• Jennifer Ann Franklin, M.A., SLP
• Sincere Najanaye Franks
• Fredric E Weiss Inc
• Fredric L Edelman MD a Prof Corp
• Darren Keith Freeman, D.O.
• Matthew Bret Freeman, LAC
• Katherine Nicole Frees
• Jared Freilich, BCBA
• George Joseph French, DDS

• Ambulatory Surgical Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.