FRY EYE SURGERY CENTER, LLC; NPI #1528080876

Contact Information

FRY EYE SURGERY CENTER, LLC

411 CAMPUS DRIVE
GARDEN CITY, KS 67846-6124

Phone: 620-276-7699
Fax: 620-276-7704
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for FRY EYE SURGERY CENTER, LLC

NPI Number 1528080876

LBN Legal business name FRY EYE SURGERY CENTER, LLC

Authorized official WILLIAM CLIFFORD - (AUTHORIZED OFFICIAL/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/24/2006

Last updated 08/10/2015 - About 11 years ago

Identifiers

CO	Medicaid	94510021
KS	Medicaid	100305010A
OK	Medicaid	100750170A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FRY EYE SURGERY CENTER, LLC

Contact Information

Specialty

Ambulatory Surgical

Multi-Specialty

NPI Profile & details for FRY EYE SURGERY CENTER, LLC

Reviews for FRY EYE SURGERY CENTER, LLC