MOUNT DORA OPHTHALMOLOGY ASC LLC NPI 1497728984

NPI Details

MOUNT DORA OPHTHALMOLOGY ASC LLC is an ambulatory surgical clinic center in Mount Dora, FL. MOUNT DORA OPHTHALMOLOGY ASC LLC NPI is 1497728984. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid Florida Surgery Center.

The provider's business location address is:

17564 US HIGHWAY 441
MOUNT DORA, FL
ZIP 32757-711
Phone: (352) 735-4100
Fax: (352) 735-2444

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 10D0680225 - 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.

• Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
• Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
• Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
• Laser repair to improve eye fluid flow (HCPCS:65855)
• Insertion of eye fluid drainage device (HCPCS:66183)
• Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
• Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)

The enumeration date for this NPI number is 2/7/2006 and was last updated on 10/31/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.