Organization Active NPI

Vision Group ASC, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1902860679
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
AR4308 Issued in AR
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

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Claire B. Price, MDNPI 1841262730
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200085810AMedicaidOK
P00287824OtherARRAILROAD MEDICARE
159454128MedicaidAR
AR4308OtherARLICENCE NUMBER

Other names 1

  • Advanced Cataract & Laser Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 04C0001065
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1041984Advanced Cataract Surgery Laser Center3002 Rogers Avenue, Fort Smith, AR 72901Certificate of waiverJun 15, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

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.

Verify at the official NPI Registry.