NPIMap

Organization Active NPI

Volusia Center for Surgical Excellence, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Edgewater, FL
National Provider Identifier
1821655259
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
VOLUSIA CENTER FOR SURGICAL EXCELLENCE, LLC
Practice address
303 N Ridgewood Ave
Edgewater, FL 32132-1617
Phone
(386) 424-1422
Fax
(386) 424-1401
NPI assigned
May 21, 2019
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Orest Krajnyk, MDNPI 1568624898
Title
Manager
Phone
(386) 424-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Medical Specialty Clinic/Center 261QM2500X NU
Ophthalmologic Surgery Clinic/Center 261QS0132X NU Primary

Addresses

Primary practice location

303 N Ridgewood Ave
Edgewater, FL 32132-1617

Mailing address

303 N Ridgewood Ave
Edgewater, FL 32132-1617
Phone (386) 424-1422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@theprecisioneye.com

National Provider Directory

National Provider Directory

Locations

2568 S Ridgewood Ave
Ste 2
Edgewater, FL 32141

303 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 424-1422

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1821655259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321617",
            "telephone_number": "386-424-1422",
            "fax_number": "386-424-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321617",
            "telephone_number": "386-424-1422",
            "fax_number": "386-424-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA CENTER FOR SURGICAL EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-05-17",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "KRAJNYK",
        "authorized_official_first_name": "OREST",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-424-1422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@theprecisioneye.com",
            "affiliation": "N",
            "address_1": "303 N Ridgewood Ave",
            "city": "Edgewater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321321617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.