SURGERY & LASER CENTER AT PROFESSIONAL PARK LLC NPI 1477628725

NPI Information

  • NPI: 1477628725
  • Provider Name: SURGERY & LASER CENTER AT PROFESSIONAL PARK LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • Address: 136 PROFESSIONAL PARK DRIVE
    CLINTON, SC
    ZIP 29325
  • Phone: (864) 938-9836

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NPI Details

SURGERY & LASER CENTER AT PROFESSIONAL PARK LLC is an ambulatory surgical clinic center in Clinton, SC. SURGERY & LASER CENTER AT PROFESSIONAL PARK LLC NPI is 1477628725. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

136 PROFESSIONAL PARK DRIVE
CLINTON, SC
ZIP 29325
Phone: (864) 938-9836
Fax: (864) 938-9838

The provider's authorized official is Kevin Becker .
The authorized official title is Cfo and has the following contact phone number (470) 243-2259.

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.

  • 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)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Creation of permanent eyelid margin scarring (HCPCS:67880)
  • Repair of turning-outward eyelid defect (HCPCS:67916)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)

The enumeration date for this NPI number is 11/22/2006 and was last updated on 2/6/2025.

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 SurgicalSOUTH CAROLINAYes

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

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