FREEDOM VISION SURGERY CENTER LLC NPI 1669414306

NPI Information

  • NPI: 1669414306
  • Provider Name: FREEDOM VISION SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: FREEDOM VISION SURGERY CENTER LLC
  • CLIA Number: 05D1105033
  • Address: 16255 VENTURA BLVD
    #100
    ENCINO, CA
    ZIP 91436
  • Phone: (818) 783-2346

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NPI Details

FREEDOM VISION SURGERY CENTER LLC is an ambulatory surgical clinic center in Encino, CA. FREEDOM VISION SURGERY CENTER LLC NPI is 1669414306. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Freedom Vision Surgery Center Llc.

The provider's business location address is:

16255 VENTURA BLVD
#100
ENCINO, CA
ZIP 91436-302
Phone: (818) 783-2346
Fax: (818) 783-5048

The provider's authorized official is Kim Lynch .
The authorized official title is Administrator and has the following contact phone number (818) 788-2346.

The CLIA number assigned to this NPI record is 05D1105033 - 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)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • 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)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Reconstruction of eyelid margin (HCPCS:67950)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Repair of brow paralysis (HCPCS:67900)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Exchange of prosthetic lens (HCPCS:66986)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Shortening or advancement of upper eyelid muscle to correct drooping or paralysis (HCPCS:67903)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Repair of eyelid lining with graft from external eye (HCPCS:68320)
  • Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66989)
  • Removal of membrane of retina (HCPCS:67041)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Reconstruction of conjunctiva with graft from outer eye or rearrangement (HCPCS:68326)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/19/2016.

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 Surgical930000916CALIFORNIAYes

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
1S051418MEDICARE UPINCALIFORNIA

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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