Advanced Eye Surgery Center, L.L.C.

Key facts

NPI: 1669772893
Entity type: Organization (NPI type 2)
Primary specialty: Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name: ADVANCED EYE SURGERY CENTER, L.L.C.
Practice address: 1602 W 15TH Ave
Suite a
Emporia, KS 66801-5672
Phone: (620) 343-7200
Fax: (620) 342-7895
NPI assigned: Oct 21, 2010
Organization subpart: No

Authorized official

Name: Joseph Gira, MD
Title: Cmo
Phone: (636) 227-2600

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Clarkson Optometry Inc Optometrist · Saint Louis, MO · NPI 1790026540

NPD member Member Of

Practitioners 1

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

Joseph Pravoot Gira, MD Ophthalmology Physician · Des Peres, MO · NPI 1861481152

NPD (past)

Medicare Care Compare: Ambulatory surgical center

Listed as: Advanced Eye Surgery Center PA CCN 17C0001087
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
17D2023331	Advanced Eye Surgery Center 1602 West 15TH Avenue, Suite a, Emporia, KS 66801	Certificate of waiver	Apr 19, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20101028001315	KS	Part B Supplier - Ambulatory Surgical Center	2668666199	Practice locations: Emporia, KS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulatory Surgical Clinic/Center	261QA1903X			Yes

Addresses

Primary practice location

1602 W 15TH Ave
Suite a
Emporia, KS 66801-5672

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 227-2600

Other identifiers

Identifier	Type	State	Issuer
30003887780001	Medicaid	KS

Other providers in Emporia, KS

All providers in Emporia, KS · Ambulatory Surgical Clinic/Center in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.