Organization Active NPI

Eye Surgery Center of Chester County, LLC

Doing business as Vision One Laser & Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Exton, PA
National Provider Identifier
1992784821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
11081500 Issued in PA
Legal business name
EYE SURGERY CENTER OF CHESTER COUNTY, LLC
Doing business as
Vision One Laser & Surgery Center
Practice address
140 John Robert Thomas Dr
Exton, PA 19341-2656
Phone
(610) 280-9144
Fax
(610) 280-0797
NPI assigned
Jan 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah S Kitz, PH.D.
Title
Consulting Admin. Director
Phone
(610) 280-9144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 11081500 PA Primary

Addresses

Primary practice location

140 John Robert Thomas Dr
Exton, PA 19341-2656

Mailing address

140 John Robert Thomas Dr
Exton, PA 19341-2656
Phone (610) 280-9144

Other identifiers 1

IdentifierTypeStateIssuer
0075577000002MedicaidPA

Other names 1

  • Vision One Laser & Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100113000424 PA Part B Supplier - Ambulatory Surgical Center 1052452042 Practice locations: Exton, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Vision One Laser and Surgery Center LLCCCN 39C0001084
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
39D0967437Vision One Laser & Surgery Center140 John Robert Thomas Drive, Exton, PA 19341Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory

Locations

140 John Robert Thomas Dr
Exton, PA 19341
Phone (610) 280-9144

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992784821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412656",
            "telephone_number": "610-280-9144",
            "fax_number": "610-280-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412656",
            "telephone_number": "610-280-9144",
            "fax_number": "610-280-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF CHESTER COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KITZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONSULTING ADMIN. DIRECTOR",
        "authorized_official_telephone_number": "610-280-9144",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "11081500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075577000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision One Laser & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.