Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1962455428 |
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| LBN Legal business name | VALLEY EYE INSTITUTE ASC LLC | ||||
| Authorized official | JOSEPH GIRA - (VP, CMO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/18/2006 | ||||
| Last updated | 07/24/2024 - More than a year ago | ||||
| Identifiers |
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