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SURGICENTER LTD NPI 1154412757


NPI Information

NPI: 1154412757
Provider Name: SURGICENTER LTD

Doing Business As: BLOOMBERG EYE CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D1011690

Address:
1651 WEST MAIN STREET
NEWARK, OH
ZIP 43055
Phone: (740) 522-5029
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SURGICENTER LTD is an ambulatory surgical clinic center in Newark, OH. SURGICENTER LTD NPI is 1154412757. The provider is registered as an organization entity type.
The provider Is Doing Business As Bloomberg Eye Center.

The provider's business location address is:

1651 WEST MAIN STREET
NEWARK, OH
ZIP 43055-345
Phone: (740) 522-5029
Fax: (740) 522-6766

The provider's authorized official is Shahin Shahinfar .
The authorized official title is Medical Director Owner and has the following contact phone number (740) 522-3937.

The CLIA number assigned to this NPI record is 36D1011690 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical0086A5OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12258079MEDICAIDOHIO

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: 4/28/2024

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