Valley Eye Institute ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0728AS Issued in OH

Legal business name

VALLEY EYE INSTITUTE ASC LLC

Practice address

1118 Fairington Drive
Sidney, OH 45365

Phone

(937) 492-3755

Fax

(937) 492-1132

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Pravoot Gira

Title

VP, Cmo

Phone

(636) 227-2600

Specialties & licenses 1

Addresses

Other names 1

• CVP Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Valley Eye Institute ASCCCN 36C0001179

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Michael Lee Stark, DO

  • Ophthalmology Physician
  • Sidney, OH
  • NPI 1679579577
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1962455428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FAIRINGTON DRIVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-492-3755",
            "fax_number": "937-492-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FAIRINGTON DRIVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-492-3755",
            "fax_number": "937-492-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE INSTITUTE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "VP, CMO",
        "authorized_official_telephone_number": "636-227-2600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0728AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVP Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upper Valley Kidney Clinic
• Upper Valley Kidney Clinic
• Alyssa Ann Vactor, APRN-CNP
• Philip W Valentine, OD
• Valley Eye Institute
• Valley Eye Institute Inc
• Georgia Van Horn
• Eric David Vanfossen, PA-C
• Alexis Danielle Vanhook, IP
• Jeffery R Vantreese

• Ambulatory Surgical Clinic/Center in Sidney, OH
• Providers in Sidney, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.