Surgical Eye Experts, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL EYE EXPERTS, LLC

Practice address

385 Grove St
Worcester, MA 01605-3924

Phone

(508) 453-8820

Fax

(508) 791-4151

NPI assigned

Nov 15, 2007

Organization subpart

Yes

Parent organization

RELIANT MEDICAL GROUP, INCAs reported in NPPES

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

Authorized official

Name

Dr. Bradley Daines, MD

Title

Medical Director

Phone

(508) 852-0600

Specialties & licenses 1

Addresses

Other names 1

• Surgical Eye Experts of New England, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

Fallon Clinic Pharmacy

Member of 1

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

• Reliant Medical Group, Inc

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1720017528

  Member Of

  NPD member

Locations

Practitioners 1

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

• Thad F Schilling, M.D.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1801823935
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1871774174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053924",
            "telephone_number": "508-453-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053924",
            "telephone_number": "508-453-8820",
            "fax_number": "508-791-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EYE EXPERTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT MEDICAL GROUP, INC",
        "enumeration_date": "2007-11-15",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "DAINES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-852-0600",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Eye Experts of New England, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathryn Surdovel, O.D.
• Nina Suresh
• Poornima Suresh, MD
• Ramya Kannan Suresh, D.M.D.
• Stanley P Surette
• Diana Suris, D.O.
• Sarah Alexandra Surprenant
• Diane Marie Surrette, LCSW
• Stephanie Janice Sursky, MSOT, OTR/L
• Russell Arthur Surveyer, PH.D.

• Ambulatory Surgical Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.