Organization Active NPI

Papillion Eye Surgical Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Papillion, NE
National Provider Identifier
1871542688
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PAPILLION EYE SURGICAL CENTER, INC
Practice address
535 Fortune Dr Ste 200
Papillion, NE 68046-3428
Phone
(402) 934-9033
Fax
(402) 934-9506
NPI assigned
May 9, 2006
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Celia R Manahan, MDNPI 1073566816
Title
President
Phone
(402) 934-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

535 Fortune Dr Ste 200
Papillion, NE 68046-3428

Mailing address

535 Fortune Dr Ste 200
Papillion, NE 68046-3428
Phone (402) 934-9033

Other identifiers 1

IdentifierTypeStateIssuer
10025390200MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1871542688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR STE 200",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463428",
            "telephone_number": "402-934-9033",
            "fax_number": "402-934-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR STE 200",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463428",
            "telephone_number": "402-934-9033",
            "fax_number": "402-934-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPILLION EYE SURGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MANAHAN",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-934-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025390200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.