EYE SURGERY CENTER OF EAST TEXAS LLC NPI 1396266441

NPI Information

  • NPI: 1396266441
  • Provider Name: EYE SURGERY CENTER OF EAST TEXAS LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 45D2134604
  • Address: 2448 E 5TH ST
    TYLER, TX
    ZIP 75701
  • Phone: (903) 535-3000

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NPI Details

EYE SURGERY CENTER OF EAST TEXAS LLC is an ambulatory surgical clinic center in Tyler, TX. EYE SURGERY CENTER OF EAST TEXAS LLC NPI is 1396266441. The provider is registered as an organization entity type.

The provider's business location address is:

2448 E 5TH ST
TYLER, TX
ZIP 75701
Phone: (903) 535-3000

The provider's authorized official is Curtis J Pennell .
The authorized official title is Medical Director and has the following contact phone number (903) 595-0500.

The CLIA number assigned to this NPI record is 45D2134604 - 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)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)

The enumeration date for this NPI number is 6/29/2017 and was last updated on 4/12/2024.

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

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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