KU EYE SURGERY & LASER CENTER, LLC – NPI #1083952113
Clinic/Center

KU EYE SURGERY & LASER CENTER, LLC is an AHC clinic located in PRAIRIE VILLAGE, KS. NPPES has assigned the NPI number 1083952113 to KU EYE SURGERY & LASER CENTER, LLC on January 24, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0132X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ophthalmologic Surgery

The NPI profile was previously updated about 11 years ago on Oct 19, 2015. 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 KU EYE SURGERY & LASER CENTER, LLC below.

NPI Profile for
KU EYE SURGERY & LASER CENTER, LLC

NPI Number
1083952113
Enumeration Date

(more than 13 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
KU EYE SURGERY & LASER CENTER, LLC
Primary location
7400 STATE LINE RD
SUITE 212
PRAIRIE VILLAGE, KS 66208-3444
Phone: (913) 588-2020 Fax: (913) 574-1087
Mailing address
Same as primary location
Organization Subpart
Yes - KU EYE SURGERY & LASER CENTER, LLC is subpart of another organization.
Authorized Official
JOHN SUTPHIN
PRESIDENT
Phone: (913) 588-6606
Updated
Identifiers

Identifiers for KU EYE SURGERY & LASER 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
OTHERMEDICARE PTANKA3250
MEDICAIDKS201099022A
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
261QS0132X
- Clinic/Center / Ophthalmologic Surgery (Primary)		 KS 4652236

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.