Eye Bone, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in OH

Legal business name

EYE BONE, LLC

Doing business as

Chardon Surgery Center

Practice address

150 Seventh Ave
Chardon, OH 44024-2908

Phone

(440) 285-2900

Fax

(440) 286-2905

NPI assigned

Jun 4, 2010

Last updated

Apr 25, 2023By 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. Augustine John Kellis, MDNPI 1437193828

Title

President

Phone

(440) 285-2900

Specialties & licenses 2

Addresses

Other names 1

• Chardon Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Chardon Surgery CenterCCN 36C0001261

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, and the practitioner matching its NPPES authorized official.

• Augustine J. Kellis, M.D.

  • Ophthalmology Physician
  • Chardon, OH
  • NPI 1437193828
  NPD (past) Authorized official
• Gregory C Sarkisian, D.O.

  • Orthopaedic Surgery Physician
  • Chardon, OH
  • NPI 1962489146
  NPD

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1730409400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SEVENTH AVE",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242908",
            "telephone_number": "440-285-2900",
            "fax_number": "440-286-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SEVENTH AVE",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242908",
            "telephone_number": "440-285-2900",
            "fax_number": "440-286-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE BONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "KELLIS",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-285-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0979AS",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chardon Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chardon Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Marie Eron Crane, DMD
• Bo Elizabeth Espinosa-Setchko, MD, MPP
• Isabella Evans
• Natalie S Evans, M.D.
• Lukas Everly, PHARM.D.
• Fadul Health Partners, PLLC
• Ann Louise Failinger, MD
• Lacey Fair-McCullough
• Family Pride Incorporated
• Family Pride of Northeast Ohio Incorporated

• Ambulatory Surgical Clinic/Center in Chardon, OH
• Providers in Chardon, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.