EYE SURGERY CENTER OF WICHITA, LLC (NPI# 1225064785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225064785 |
| Entity Type | Organization |
| Organization Name | EYE SURGERY CENTER OF WICHITA, LLC |
| Other Organization Name | TEAM VISION SURGERY CENTERS |
| Practice Address |
834 N Socora St Wichita KS 67212-3238 |
| Mailing Address |
6100 E Central Ave Wichita KS 67208-4237 |
| Practice Telephone | 3167296000 |
| Practice Fax Number | 3167296241 |
| Mailing Telephone | 3166812020 |
| Mailing Fax Number | 3166844939 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JUDY L BROWN (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 3166812020 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
SO87009 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PPK & PHS | 1181 | 01 |
| Other Name | Type Code |
|---|---|
| Team Vision Surgery Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336184993 | Eye Surgery Center of Wichita, LLC | Clinic/Center | 6100 E Central Ave Ste 5, Wichita, KS 67208-4237 | 2006-06-18 |
| Street Address |
834 N SOCORA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701415 | Jennifer E Taylor | Optometrist | 834 N Socora St, Wichita, KS 67212-3279 | 2006-02-27 |
| 1932733557 | Advanced Chiropractic Ict, LLC | Chiropractor | 834 N Socora St, Wichita, KS 67212-3279 | 2020-02-24 |
| 1821622440 | Casey Holt | Chiropractor | 834 N Socora St, Wichita, KS 67212-3279 | 2020-02-24 |
| 1730621327 | Brandon W Hill | Occupational Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-11-14 |
| 1194272658 | Monica Ignowski | Physical Therapy Assistant | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-09-01 |
| 1255884714 | Mandi Youngers | Physical Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-08-01 |
| 1184071342 | Joseph Knapp | Physical Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-05-18 |
| 1952778961 | Alina Aldatova | Physical Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2015-08-25 |
| 1912316811 | Great Plains Diabetes Research, Inc | Clinical Nurse Specialist | 834 N Socora St, Suite 4, Wichita, KS 67212 | 2014-08-05 |
| 1184968372 | Cassandra Ann Sutton | Physical Therapy Assistant | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2012-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336184993 | Eye Surgery Center of Wichita, LLC | Clinic/Center | 6100 E Central Ave Ste 5, Wichita, KS 67208-4237 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1922553973 | The Lasik Vision Institute LLC | Clinic/Center | 2858 Sw Villa West Dr, Suite 100, Topeka, KS 66614-5473 | 2016-08-19 |
| 1619427861 | The Cataract Vision Institute LLC | Clinic/Center | 2858 Sw Villa West Dr, Suite 100, Topeka, KS 66614-5473 | 2016-10-12 |
| 1598211567 | The Cataract Vision Institute LLC | Clinic/Center | 8500 W 110th St, Suite 200, Overland Park, KS 66210-1874 | 2016-08-30 |
| 1083952113 | Ku Eye Surgery & Laser Center, LLC | Clinic/Center | 7400 State Line Rd, Suite 212, Prairie Village, KS 66208-3444 | 2013-01-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.