Active NPI
Vision Group ASC, LLC
- Ophthalmologic Surgery Clinic/Center
- Fort Smith, AR
National Provider Identifier
1902860679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- AR4308
- Legal business name
- VISION GROUP ASC, LLC
- Practice address
- 3002 Rogers Ave
Fort Smith, AR 72901-4232 - Phone
- (479) 782-8892
- Fax
- (479) 782-8840
- NPI assigned
- Apr 12, 2006
- 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
- Dr. Claire B. Price, MD
- Title
- Chief of Staff
- Phone
- (479) 782-8892
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | MC1632 | AR | |
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | AR4308 | AR | Primary |
Addresses
Primary practice location
3002 Rogers Ave
Fort Smith, AR 72901-4232
Mailing address
3002 Rogers Ave
Fort Smith, AR 72901-4232
Phone (479) 782-8892
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200085810A | Medicaid | OK | |
| P00287824 | Other | AR | RAILROAD MEDICARE |
| 159454128 | Medicaid | AR | |
| AR4308 | Other | AR | LICENCE NUMBER |
Other names 1
- Advanced Cataract & Laser Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060208000404 | AR | Part B Supplier - Ambulatory Surgical Center | 4486669736 | Practice locations: Fort Smith, AR |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Vision Group ASC 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 |
|---|---|---|---|
| 04D1041984 | Advanced Cataract Surgery Laser Center | Certificate of waiver | Jun 15, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Fort Smith, AR
- NPI 1841262730
-
- Optometrist
- Fort Smith, AR
- NPI 1609544279
-
- Ophthalmology Physician
- Fort Smith, AR
- NPI 1467424374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266883200000",
"number": "1902860679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014232",
"telephone_number": "479-782-8892",
"fax_number": "479-782-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014232",
"telephone_number": "479-782-8892",
"fax_number": "479-782-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION GROUP ASC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2010-02-23",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "CLAIRE",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "CHIEF OF STAFF",
"authorized_official_telephone_number": "479-782-8892",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AR",
"license": "MC1632",
"primary": false
},
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "AR",
"license": "AR4308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200085810A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00287824",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159454128",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE NUMBER",
"identifier": "AR4308",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Cataract & Laser Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.