Eye Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7001316 Issued in IL

Legal business name

EYE SURGERY CENTER, LLC

Practice address

3990 N Illinois St
Belleville, IL 62226

Phone

(618) 277-1130

Fax

(618) 948-7624

NPI assigned

Jun 14, 2006

Last updated

Sep 23, 2016By 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

Michael P Jones, MD

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, LTD.

  • Certified Registered Nurse Anesthetist
  • Swansea, IL
  • NPI 1902255342

  O20071026000099

  Same enrollment

Listed as

Eye Surgery Center LLCCCN 14C0001047

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

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

• Eye Surgery Center, LTD.

  • Certified Registered Nurse Anesthetist
  • Swansea, IL
  • NPI 1902255342

  Member Of

  NPD member
• Clarkson Optometry Inc

  • Optometrist
  • Eureka, MO
  • NPI 1326090267

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1902849227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "address_2": "LOWER LEVEL",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-948-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-277-1130",
            "fax_number": "618-948-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-277-1130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7001316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahayo Esperant-Hilaire, MD
• Essence Express LLC
• Tiera L Evans
• Branicia D. Everlasting, DOULA
• Express Medical Pharmacy LLC (Medicine Shoppe)
• Eyecare Management, LLC (Quantum Vision Centers)
• Eyecare Management, LLC (Illinois Eye Surgeons)
• Eyecare of Illinois LTD
• Morgan Fahey-Vornberg, D.O.
• Kiley M Faires, FNP-BC

• Ambulatory Surgical Clinic/Center in Belleville, IL
• Providers in Belleville, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.