Kearney Eye Surgical Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KEARNEY EYE SURGICAL CENTER, INC.

Practice address

411 W 39TH St
Kearney, NE 68845-2805

Phone

(308) 865-2760

Fax

(308) 865-2769

NPI assigned

May 4, 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

Mr. Alan Daup

Title

Administrator

Phone

(308) 865-2760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Kearney Eye Surgical Center IncCCN 28C0001047

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 1

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.

• Thomas John Clinch, MD

  • Ophthalmology Physician
  • Kearney, NE
  • NPI 1568465987
  NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740492529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST",
            "address_2": "PO BOX 1896",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452805",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452805",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY EYE SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUP",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-865-2760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kearney Dental Clinic P C
• Kearney Endoscopy Center L.L.C.
• Kearney Eye Institute, P.C.
• Kearney Eye Institute, P.C. (Grand Island Eye Institute)
• Kearney Family Young Men's Christian Asscociation
• Kearney Foot Clinic PC
• Kearney Good Samaritan Housing, Inc (St Luke's Countryside Villa)
• Kearney Housing Agency
• Kearney Housing Development Corporation

• Ambulatory Surgical Clinic/Center in Kearney, NE
• Providers in Kearney, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• 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.