GREENSBORO OPHTHALMOLOGY ASC LLC NPI 1639142656

NPI Information

NPI: 1639142656
Provider Name: GREENSBORO OPHTHALMOLOGY ASC LLC

Doing Business As: SURGICAL EYE CENTER

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

Specialization: Ambulatory Surgical

Address:
3312 BATTLEGROUND AVENUE
GREENSBORO, NC
ZIP 27410
Phone: (336) 282-8331
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GREENSBORO OPHTHALMOLOGY ASC LLC is an ambulatory surgical clinic center in Greensboro, NC. GREENSBORO OPHTHALMOLOGY ASC LLC NPI is 1639142656. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgical Eye Center.

The provider's business location address is:

3312 BATTLEGROUND AVENUE
GREENSBORO, NC
ZIP 27410-402
Phone: (336) 282-8331
Fax: (336) 282-2625

The provider's authorized official is Dawn D Apple .
The authorized official title is Manager and has the following contact phone number (910) 255-2070.

The CLIA number assigned to this NPI record is 34D0238208 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 8/17/2018.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	AS0033	NORTH CAROLINA	Yes

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
1	3409924	MEDICAID	NORTH CAROLINA
2	7603762	MEDICAID	VIRGINIA
3	=========-001	OTHER	NORTH CAROLINA	HUMANA MILITARY, INC.
4	490004996	OTHER	NORTH CAROLINA	RAILROAD 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: 4/28/2024

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