EAGLE EYE SURGERY AND LASER CENTER LLC NPI 1235255605

NPI Information

  • NPI: 1235255605
  • Provider Name: EAGLE EYE SURGERY AND LASER CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: EAGLE EYE SURGERY & LASER CENTER
  • CLIA Number: 13D0976451
  • Address: 3090 E GENTRY WAY STE 100
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 288-1600

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NPI Details

EAGLE EYE SURGERY AND LASER CENTER LLC is an ambulatory surgical clinic center in Meridian, ID. EAGLE EYE SURGERY AND LASER CENTER LLC NPI is 1235255605. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Eye Surgery & Laser Center.

The provider's business location address is:

3090 E GENTRY WAY STE 100
MERIDIAN, ID
ZIP 83642-548
Phone: (208) 288-1600
Fax: (208) 288-4299

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 13D0976451 - 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)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • 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)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Creation of drainage tract from tear sac to nasal cavity (HCPCS:68720)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Removal of membrane of retina (HCPCS:67041)

The enumeration date for this NPI number is 3/21/2007 and was last updated on 9/21/2022.

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 SurgicalYes

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
1000010029603OTHERIDAHOREGENCE BLUE SHIELD
2805834800MEDICAIDIDAHO
304093OTHERIDAHOBLUE CROSS
4150695MEDICAIDOREGON
5490004716OTHERIDAHORAILROAD MEDICARE

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: 3/30/2025

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