EYE LASER AND SURGERY CENTER LLC – NPI #1578881009
Clinic/Center

EYE LASER AND SURGERY CENTER LLC is an AHC clinic located in BEAVERCREEK, OH. NPPES has assigned the NPI number 1578881009 to EYE LASER AND SURGERY CENTER LLC on May 07, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 13 years ago on Jan 10, 2013. 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 LASER AND SURGERY CENTER LLC below.

NPI Profile for
EYE LASER AND SURGERY CENTER LLC

NPI Number
1578881009
Enumeration Date

(more than 16 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 LASER AND SURGERY CENTER LLC
Primary location
4235 INDIAN RIPPLE RD
STE 110
BEAVERCREEK, OH 45440-3265
Phone: (937) 427-7800 Fax: (937) 427-7803
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRIAN STAHL
MANAGING PARTNER/PRESIDENT
Phone: (937) 427-2020
Updated
Identifiers

Identifiers for EYE LASER AND SURGERY CENTER 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
MEDICAIDOH0055714
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)
OH 0991AS
261QS0132X
- Clinic/Center / Ophthalmologic Surgery
OH 0991AS

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.