South Texas Eye Surgicenter Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000144 Issued in TX

Legal business name

SOUTH TEXAS EYE SURGICENTER INC

Practice address

4406 N Laurent
Victoria, TX 77901-2791

Phone

(361) 578-0107

Fax

(361) 578-1320

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert T McMahon, MDNPI 1750362422

Title

President Owner

Phone

(361) 578-0107

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

South Texas Eye Surgicenter IncCCN 45C0001048

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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

• Robert T McMahon, MD

  • Ophthalmology Physician
  • Victoria, TX
  • NPI 1750362422
  Medicare reassignment NPD Authorized official
• Robert Milton Gilliam, M.D.

  • Ophthalmology Physician
  • Victoria, TX
  • NPI 1730122383
  Medicare reassignment NPD

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1679554349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012791",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012791",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS EYE SURGICENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "361-578-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085879701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679554349",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solo Anesthesia Services, PLLC
• South Coast Health Care of Texas, PA
• South Padre Island Pediatric Clinic PA
• South Texas Chiropractic & Rehab
• South Texas Eye Associates
• South Texas Plastic Surgery, PA
• Peyton Ratliff Speed
• Mark Howard Spivey, DDS
• Blake Spoon, PT
• Peter M Spradling, DMD

• Ambulatory Surgical Clinic/Center in Victoria, TX
• Providers in Victoria, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.