ASC LONE TREE LLC NPI 1053711275

NPI Details

ASC LONE TREE LLC is an ambulatory surgical clinic center in Englewood, CO. ASC LONE TREE LLC NPI is 1053711275. The provider is registered as an organization entity type.
The provider Is Doing Business As Icon Surgery Center Of Denver.

The provider's business location address is:

10520 EL DIENTE CT
ENGLEWOOD, CO
ZIP 80112-656
Phone: (720) 524-1001
Fax: (720) 524-1121

The provider's authorized official is Christian Ellison .
The authorized official title is Ceo and has the following contact phone number (720) 273-7449.

The CLIA number assigned to this NPI record is 06D2085545 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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.

• Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
• Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
• Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
• Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
• Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)

The enumeration date for this NPI number is 8/25/2014 and was last updated on 8/20/2020.

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: