Eye Surgery Center, LTD.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

7001316 Issued in IL

Legal business name

EYE SURGERY CENTER, LTD.

Practice address

3990 N Illinois St
Swansea, IL 62226-1919

Phone

(618) 277-1130

Fax

(618) 277-4917

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Michael Paul Jones, M.D.

Title

President

Phone

(618) 277-1130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Belleville, IL
  • NPI 1902849227

  O20071026000099

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Belleville, IL
  • NPI 1902849227

  Member Of

  NPD member

Practitioners 1

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

• Bart Aaron Jones, M.D.

  • Ophthalmology Physician
  • Swansea, IL
  • NPI 1447256797
  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1902255342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-277-1130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "7001316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany J Evans
• Evercare of Swansea LLC
• Evervella of Swansea LLC
• Ewing Blue Counseling PLLC
• Felicia K Ewing, LCPC
• Fairview Medical Group LLC
• Fazillah Faiz, PA-C
• Homer Ashton Ferguson Jr., M.D.
• Nathan Ferguson
• Figure 8 Integrative Health & Wellness LLC

• Certified Registered Nurse Anesthetist in Swansea, IL
• Providers in Swansea, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.