Active NPI
Advanced Vision Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Longmont, CO
National Provider Identifier
1972030161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ADVANCED VISION SURGERY CENTER LLC
- Practice address
- 1390 Dry Creek Drive
Longmont, CO 80503 - Phone
- (303) 682-3383
- Fax
- (303) 682-3380
- NPI assigned
- May 18, 2017
- 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. Joel Stuart Meyers, MD
- Title
- Officer
- Phone
- (303) 682-3383
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1390 Dry Creek Drive
Longmont, CO 80503
Mailing address
1400 Dry Creek Dr
Longmont, CO 80503-6499
Phone (303) 682-3383
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Longmont, CO
- NPI 1689750168
-
- Retina Specialist (Ophthalmology) Physician
- Longmont, CO
- NPI 1326205048
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Advanced Vision Surgery Center 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 |
|---|---|---|---|
| 06D2148884 | Advanced Vision Surgery Center | Certificate of waiver | May 20, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180914001210 | CO | Part B Supplier - Ambulatory Surgical Center | 8628329513 | Practice locations: Longmont, CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1972030161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 DRY CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036499",
"telephone_number": "303-682-3383",
"fax_number": "303-682-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 DRY CREEK DRIVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80503",
"telephone_number": "303-682-3383",
"fax_number": "303-682-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED VISION SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MEYERS",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "STUART",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "303-682-3383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.