EYE SURGERY CENTER OF HINSDALE LLC – NPI #1114902871
Clinic/Center

EYE SURGERY CENTER OF HINSDALE LLC is an AHC clinic located in HINSDALE, IL. NPPES has assigned the NPI number 1114902871 to EYE SURGERY CENTER OF HINSDALE LLC on December 14, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Feb 05, 2020. 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 EYE SURGERY CENTER OF HINSDALE LLC below.

NPI Profile for
EYE SURGERY CENTER OF HINSDALE LLC

NPI Number
1114902871
Enumeration Date

(more than 20 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
EYE SURGERY CENTER OF HINSDALE LLC
Primary location
950 N YORK RD STE 203
HINSDALE, IL 60521-8609
Phone: (630) 789-6900 Fax: (630) 789-3909
Mailing address
75 REMITTANCE DR DEPT 6745
CHICAGO, IL 60675-6745
Phone: (630) 789-6900 Fax:
Organization Subpart
No
Authorized Official
GEORGE NEAL
CHIEF EXECUTIVE OFFICER
Phone: (469) 214-0144
Updated
Certification Date
Feb 05, 2020

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.

Identifiers

Identifiers for EYE SURGERY CENTER OF HINSDALE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036079800
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)
IL 7002942

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.