Associated Eye Care Ambulatory Surgery Center LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

ASSOCIATED EYE CARE AMBULATORY SURGERY CENTER LLC

Practice address

2950 Curve Crest Blvd
Stillwater, MN 55082

Phone

(651) 275-3000

Fax

(651) 275-3032

NPI assigned

May 13, 2006

Last updated

Dec 5, 2024By 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

Gary S Schwartz, M.D.NPI 1275538571

Title

President

Phone

(651) 275-3000

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Associated Eye Care Ambulatory Surgery Center LLCCCN 24C0001055

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 3

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.

• Gary S Schwartz, M.D.

  • Ophthalmology Physician
  • Woodbury, MN
  • NPI 1275538571
  NPD Authorized official
• Evan A Ballard, M.D.

  • Ophthalmology Physician
  • Stillwater, MN
  • NPI 1598760886
  NPD (past)
• Douglas J Carlson, M.D.

  • Ophthalmology Physician
  • Stillwater, MN
  • NPI 1952306243
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1821049958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TOWER DR W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827512",
            "telephone_number": "651-275-3050",
            "fax_number": "651-275-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE CARE AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-275-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "8216068",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00348935",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144695900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Carl Ardolf, MD
• Kelle Ann Arend, MA, LMFT, RPT
• David Ario, LADC
• Sharlene Kae Dejongh Arnason, DDS
• Fern Marie Aspen, CNM
• Associated Eye Care LTD
• Associated Eye Care Optical LLC
• Associated Eye Care Optical LLC
• Aurora Therapeutic Services LLC
• Brooke Maria Auth, DNP, FNP-C

• Ophthalmologic Surgery Clinic/Center in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Ophthalmologic Surgery Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.