Organization Active NPI

Rockingham Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Rockingham, VA
National Provider Identifier
1891313532
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ROCKINGHAM EYE SURGERY CENTER, LLC
Practice address
1690 B Spring Port Dr
Rockingham, VA 22801-2280
Phone
(540) 433-2485
NPI assigned
Jul 9, 2020
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Robert McCarville
Title
Authorized Official
Phone
(417) 889-2040

Specialties & licenses 1

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

Addresses

Primary practice location

1690 B Spring Port Dr
Rockingham, VA 22801-2280

Mailing address

2808 S Ingram Mill Rd BLDG B
Springfield, MO 65804-4017
Phone (417) 889-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211208003460 VA Part B Supplier - Ambulatory Surgical Center 1153711072 Practice locations: Rockingham, VA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Rockingham Eye Surgery Center LLCCCN 49C0001080
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2243716Rockingham Eye Surgery Center LLC1690 B Spring Port Dr, Harrisonburg, VA 22801Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

Locations

1690 Spring Port Dr
Rockingham, VA 22801

1690 Spring Port Dr
#B
Rockingham, VA 22801
Phone (540) 433-2485

1690B Spring Port Dr
Rockingham, VA 22801
Phone (540) 908-4301

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1891313532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S INGRAM MILL RD BLDG B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044017",
            "telephone_number": "417-889-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 B SPRING PORT DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228012280",
            "telephone_number": "540-433-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "MCCARVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-889-2040"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.