Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Ophthalmologic Surgery |
261QS0132X |
| NPI Number | 1437202967 |
| LBN Legal business name | REGIONAL EYE SURGERY CENTER, LLC |
| Authorized official | CLIFTON BAZHAW - (VP REVENUE CYCLE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/19/2007 |
| Last updated | 05/16/2023 - About 3 years ago |
| Identifiers | n/a |
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