PADUCAH OPHTHALMOLOGY ASC LLC NPI 1124091897

NPI Information

  • NPI: 1124091897
  • Provider Name: PADUCAH OPHTHALMOLOGY ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: THE EYE SURGERY CENTER OF PADUCAH
  • CLIA Number: 18D0648616
  • Address: 100 MEDICAL CENTER DR
    PADUCAH, KY
    ZIP 42003
  • Phone: (270) 442-1024

Map and Directions

Get Directions

NPI Details

PADUCAH OPHTHALMOLOGY ASC LLC is an ambulatory surgical clinic center in Paducah, KY. PADUCAH OPHTHALMOLOGY ASC LLC NPI is 1124091897. The provider is registered as an organization entity type.
The provider Is Doing Business As The Eye Surgery Center Of Paducah.

The provider's business location address is:

100 MEDICAL CENTER DR
PADUCAH, KY
ZIP 42003-909
Phone: (270) 442-1024
Fax: (270) 442-1001

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 18D0648616 - 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)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Dilation to improve eye fluid flow (HCPCS:66174)

The enumeration date for this NPI number is 2/10/2006 and was last updated on 5/3/2022.

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 Surgical300083KENTUCKYYes

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
1000000231770OTHERKENTUCKYANTHEM BLUE CROSS BLUE SH
236001212MEDICAIDKENTUCKY

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI