EYE SURGERY CENTER OF WICHITA, LLC (NPI# 1336184993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336184993 |
Entity Type | Organization |
Organization Name | EYE SURGERY CENTER OF WICHITA, LLC |
Other Organization Name | TEAM VISION SURGERY CENTER |
Practice Address |
6100 E Central Ave Ste 5 Wichita KS 67208-4237 |
Mailing Address |
1a Burton Hills Blvd Nashville TN 37215-6187 |
Practice Telephone | 3166812020 |
Practice Fax Number | 3166844939 |
Mailing Telephone | 6156651283 |
Mailing Fax Number | 6152341720 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2020-01-27 |
Authorized Official Name | PHILLIP A. CLENDENIN (PRESIDENT) |
Authorized Official Telephone | 6156651283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
SO87004 | KS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | RAILROAD MEDICARE | 490004218 | 01 |
KS | PPK & PHS | 1181 | 01 |
KS | 100343550A | 05 |
Other Name | Type Code |
---|---|
Team Vision Surgery Center | Doing Business As Name - Organization |
Team Vision Surgery Center East | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225064785 | Eye Surgery Center of Wichita, LLC | Clinic/Center | 834 N Socora St, Wichita, KS 67212-3238 | 2006-06-24 |
Street Address |
6100 E CENTRAL AVE STE 5 |
City | WICHITA |
State | KS |
Zip Code | 67208-4237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
Find all providers in zip 67208 |
Taxonomy Code | 261QS0132X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ophthalmologic Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225064785 | Eye Surgery Center of Wichita, LLC | Clinic/Center | 834 N Socora St, Wichita, KS 67212-3238 | 2006-06-24 |
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.