Discover Eye Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1153 Issued in MO

Legal business name

DISCOVER EYE SURGERY CENTER, LLC

Practice address

4801 S Cliff Ave
Ste 101
Independence, MO 64055-7015

Phone

(816) 478-4400

Fax

(816) 478-8240

NPI assigned

Aug 23, 2005

Organization subpart

Yes

Parent organization

EYE CARE, LLCAs reported in NPPES

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

Authorized official

Name

Melinda Hamilton

Title

Executive Assistant

Phone

(816) 350-4536

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Surgery Center - The Cliffs Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Discover Eye Surgery Center LLCCCN 26C0001022

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

Part of

Discover Vision Centers

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Eye Care, LLC

  • Eyewear Supplier
  • Independence, MO
  • NPI 1265558142

  Member Of

  NPD member

Locations

Practitioners 2

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

• James W. Flood, CRNA,MA

  • Certified Registered Nurse Anesthetist
  • North Kansas City, MO
  • NPI 1255311759
  Medicare reassignment NPD
• Randolph Thomas Jackson, M.D.

  • Ophthalmology Physician
  • Kansas City, KS
  • NPI 1457310518

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1861485138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE",
            "address_2": "STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557015",
            "telephone_number": "816-478-4400",
            "fax_number": "816-478-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE",
            "address_2": "STE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557015",
            "telephone_number": "816-478-4400",
            "fax_number": "816-478-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER EYE SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE, LLC",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "816-350-4536"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005676",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center - The Cliffs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Surgery Center - The Cliffs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Diersen, D.P.T.
• Dietchman and Associates, LLC
• Digestive Health Specialists, LLC
• Dignity Healthcare, LLC
• Nancy Dirks, PMHNP-BC
• Carter Dittmer, PTA
• Aryn Elizabeth Dixon, MD
• Lloyd Theodore Dixon, OD
• Shontesscia Dixon
• Laurie Dolezal, APRN

• Ambulatory Surgical Clinic/Center in Independence, MO
• Providers in Independence, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.