VISTA SURGICAL CENTER – NPI #1023373628
Clinic/Center

VISTA SURGICAL CENTER is an AHC clinic located in CANTON, OH. NPPES has assigned the NPI number 1023373628 to VISTA SURGICAL CENTER on July 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VISTA SURGICAL CENTER” is a dba name, the actual legal business name for this organization is EYES ON STARK SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Feb 08, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VISTA SURGICAL CENTER below.

NPI Profile for
EYES ON STARK SURGERY CENTER, LLC

NPI Number
1023373628
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EYES ON STARK SURGERY CENTER, LLC
Doing Business As (dba): VISTA SURGICAL CENTER
Primary location
4319 EXECUTIVE CIRCLE NW
CANTON, OH 44718
Phone: (330) 526-0530 Fax: (330) 526-0531
Mailing address
4319 EXECUTIVE CIR NW
CANTON, OH 44718-2999
Phone: (330) 526-0530 Fax: (330) 526-0531
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954
Updated
Certification Date
Feb 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.