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Contact Information

EYE LASER AND SURGERY CENTER LLC
4235 INDIAN RIPPLE RD
STE 110
BEAVERCREEK, OH45440-3265
 Phone: 937-427-7800
 Fax: 937-427-7803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Ophthalmologic Surgery

261QS0132X
Indicates primary specialty

NPI Profile & details for EYE LASER AND SURGERY CENTER LLC

NPI Number 1578881009
LBN Legal business name EYE LASER AND SURGERY CENTER LLC
Authorized official BRIAN STAHL - (MANAGING PARTNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2010
Last updated 01/10/2013 - About 13 years ago
Identifiers
OH License # 0991AS
OH Medicaid 0055714
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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