Vance Thompson Vision Surgery Center Cedar Rapids LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VANCE THOMPSON VISION SURGERY CENTER CEDAR RAPIDS LLC

Practice address

1136 H Ave NE
Cedar Rapids, IA 52402-4624

Phone

(800) 473-3968

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

VANCE THOMPSON VISION ASC HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mark Allen Scharnberg

Title

Cfo

Phone

(605) 359-9155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vance Michael Thompson, MD

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1073519989
  NPD (past)

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1972323301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-371-7100",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 H AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024624",
            "telephone_number": "800-473-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE THOMPSON VISION SURGERY CENTER CEDAR RAPIDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANCE THOMPSON VISION ASC HOLDINGS LLC",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHARNBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-359-9155"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Van Dee
• John R Van Heukelom, DDS MS
• Tessa Corin Van Maanen
• Jacob Van Oort, PHARMD
• Katie Sue Vanarendonk, PT
• Lesley Gail Vancura, ARNP
• Daniel T Vandenbosch, MD
• Arthur John Vander Zee, M.D.
• Jennifer Ann Vander Zee
• Haillie Marie Vanderlinden

• Ambulatory Surgical Clinic/Center in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.