ADVANCED EYE SURGERY CENTER, L.L.C. (NPI# 1669772893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669772893 |
| Entity Type | Organization |
| Organization Name | ADVANCED EYE SURGERY CENTER, L.L.C. |
| Practice Address |
1602 W 15th Ave Suite A Emporia KS 66801-5672 |
| Practice Telephone | 6203437200 |
| Practice Fax Number | 6203427895 |
| Mailing Telephone | 6203437200 |
| Mailing Fax Number | 6203427895 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | MR. MICHAEL G. REYNOLDS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6203426989 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200739130A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ADVANCED EYE SURGERY CENTER, LLC | 500 Faunce Corner Rd., Ste 180, No. Dartmouth, MA 02747 |
| Street Address |
1602 W 15TH AVE SUITE A |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-5672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486526 | Michael George Reynolds | Specialist | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2005-06-09 |
| 1255740676 | Reynolds & Anliker Eye Physicians & Surgeons LLC | Ophthalmology | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2014-08-11 |
| 1487996369 | Brian Tolefree Crna LLC | Nurse Anesthetist, Certified Registered | 1602 W 15th Ave, Ste A, Emporia, KS 66801-5672 | 2013-03-19 |
| 1609152792 | Fms Midwest Dialysis Centers, LLC | Clinic/Center | 1602 W 15th Ave, Emporia, KS 66801-5672 | 2011-11-02 |
| 1669767034 | Jpcanesthesia, LLC | Nurse Anesthetist, Certified Registered | 1602 W 15th Ave, Suite A, Emporia, KS 66801-5672 | 2011-06-14 |
| 1790079911 | Jab Locum Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1602 W 15th Ave, Suite A, Emporia, KS 66801-5672 | 2011-06-06 |
| 1144435207 | Reynolds & Anliker Eye Physicians & Surgeons, Pa | Ophthalmology | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2007-05-11 |
| 1730185174 | Emporia Surgical Hospital, LLC | General Acute Care Hospital | 1602 W 15th Ave, Emporia, KS 66801-0984 | 2005-06-21 |
| 1477557247 | Wayne Leroy Anliker | Specialist | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1770147217 | Andover Ambulatory Surgery Center, LLC | Clinic/Center | 1124 W 21st St Ste 100, Andover, KS 67002-5500 | 2019-04-30 |
| 1255896676 | Ascentist Asc Merriam, LLC | Clinic/Center | 6815 Frontage Rd Ste B, Merriam, KS 66204-1291 | 2019-02-11 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1396238010 | Wichita Nephrology Group, Pa | Clinic/Center | 2122 N Garnett St, Wichita, KS 67206-3023 | 2018-06-07 |
| 1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
| 1740794973 | Epic Asc, LLC | Clinic/Center | 11261 Nall Ave Ste 200, Leawood, KS 66211-1669 | 2017-11-27 |
| 1801323191 | Ns Surgical Center LLC | Clinic/Center | 10 E Cambridge Circle Dr Ste 150, Kansas City, KS 66103-1393 | 2017-05-17 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1316470354 | Manhattan Specialists Center LLC | Clinic/Center | 202 Research Dr, Manhattan, KS 66503-3049 | 2017-04-06 |
| Find all providers with the same taxonomy | ||||
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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.