Active NPI
Rockingham Eye Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Rockingham, VA
National Provider Identifier
1891313532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2243716 | Rockingham Eye Surgery Center LLC | Certificate of waiver | Nov 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Elizabeth Dehart Richardson, PH.D.
- RMH Medical Group LLC (Sentara RMH Orthopedics DME)
- RMH Medical Group LLC (Sentara RMH Medical Group)
- Jacey A. Roberts, PA-C
- Rockingham Eye Physicians & Associates, P.C.
- Rebecca Ann Rodes, PA
- Xochithl Alonso Romero, MEDICAL INTERPRETER
- Vanessa Christine Roque, BCBA
- Jeremy Rose
- Lesley H Rose, PHARMD, BCPS
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.