Cataract & Surgical Center of Lubbock LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007864 Issued in TX

Legal business name

CATARACT & SURGICAL CENTER OF LUBBOCK LLC

Practice address

5109 80TH St
Lubbock, TX 79424-3017

Phone

(806) 792-5900

Fax

(806) 792-6092

NPI assigned

Jun 23, 2005

Last updated

Nov 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy T Khater, M.D.,PH.D., M.D.,PH.D.

Title

Owner

Phone

(806) 792-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Cataract and Surgical Center of Lubbock LLCCCN 45C0001310

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 8

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.

• Jay Cameron Bradley, M.D.

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1912042763
  Medicare reassignment NPD
• Timothy Tamim Khater, MD

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1669476255
  Medicare reassignment NPD
• Mark Philip Sherman, M.D.

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1720377799
  Medicare reassignment NPD
• Zuhair Mohammod Shihab, MD

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1639178999
  Medicare reassignment NPD
• Omar Muhammad Shoukfeh, MD

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1154683811
  Medicare reassignment NPD
• Christopher Ryan Felan

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
  • NPI 1740752427
  NPD (past)
• Natalie Sell, CRNA

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
  • NPI 1639617160
  NPD (past)
• Taylor Whitaker, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
  • NPI 1467901884
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1902802036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243017",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243017",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATARACT & SURGICAL CENTER OF LUBBOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KHATER, M.D.,PH.D.",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-792-5900",
        "authorized_official_credential": "M.D.,PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "HH1579",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Castillo, APRN, CPNP
• Raymond Joseph Castillo Jr.
• Rebecca Stephanie Castillo, NP
• Frank Castillon III, M.D.
• Tye Michael Castle I, P.T.A.
• Gwendolyn Sue Cate, L.P.C.
• Bethany Cathey, MS/CCC-SLP
• Catholic Charities
• Cathy Malouf, M.D., P.a.
• Sherri Diane Caudill, FNP

• Ambulatory Surgical Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.