EYESOUTH SURGERY CENTER AT OAK LAWN – NPI #1518967082
Clinic/Center

EYESOUTH SURGERY CENTER AT OAK LAWN is an AHC clinic located in OAK LAWN, IL. NPPES has assigned the NPI number 1518967082 to EYESOUTH SURGERY CENTER AT OAK LAWN on July 27, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EYESOUTH SURGERY CENTER AT OAK LAWN” is a dba name, the actual legal business name for this organization is NOVAMED SURGERY CENTER OF OAK LAWN, 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 last updated on Sep 11, 2024. 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 EYESOUTH SURGERY CENTER AT OAK LAWN below.

NPI Profile for
NOVAMED SURGERY CENTER OF OAK LAWN, LLC

NPI Number
1518967082
Enumeration Date

(about 21 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
NOVAMED SURGERY CENTER OF OAK LAWN, LLC
Doing Business As (dba): EYESOUTH SURGERY CENTER AT OAK LAWN
Primary location
6311 W 95TH ST
OAK LAWN, IL 60453-2201
Phone: (708) 499-3355 Fax: (708) 425-5654
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CANDICE DAVIS
CHIEF REVENUE CYCLE OFFICER
Phone: (916) 990-7590
Updated
Certification Date
Sep 11, 2024

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 EYESOUTH SURGERY CENTER AT OAK LAWN

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
otherRR MEDICAREP00163716
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 7002843

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.