OREGON TRAIL EYE SURGERY CENTER INC NPI 1003909789

NPI Information

  • NPI: 1003909789
  • Provider Name: OREGON TRAIL EYE SURGERY CENTER, INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 329 WEST 40TH STREET
    SCOTTSBLUFF, NE
    ZIP 69361
  • Phone: (308) 635-3911

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NPI Details

OREGON TRAIL EYE SURGERY CENTER, INC is an ambulatory surgical clinic center in Scottsbluff, NE. OREGON TRAIL EYE SURGERY CENTER, INC NPI is 1003909789. The provider is registered as an organization entity type.

The provider's business location address is:

329 WEST 40TH STREET
SCOTTSBLUFF, NE
ZIP 69361-634
Phone: (308) 635-3911
Fax: (308) 635-3130

The provider's authorized official is Barbara J. Middle .
The authorized official title is Administrator and has the following contact phone number (308) 635-3911.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of drug into eye (HCPCS:67028)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Laser repair to improve eye fluid flow (HCPCS:65855)

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalASC039NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110025073600MEDICAIDNEBRASKA
25490380MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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