EAST BAY SURGERY CENTER LLC NPI 1831116615

NPI Information

  • NPI: 1831116615
  • Provider Name: EAST BAY SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • CLIA Number: 22D1036317
  • Address: 440 SWANSEA MALL DR
    SWANSEA, MA
    ZIP 02777
  • Phone: (508) 324-1171

Map and Directions

Get Directions

NPI Details

EAST BAY SURGERY CENTER LLC is an ophthalmologic surgery clinic center in Swansea, MA. EAST BAY SURGERY CENTER LLC NPI is 1831116615. The provider is registered as an organization entity type.

The provider's business location address is:

440 SWANSEA MALL DR
SWANSEA, MA
ZIP 02777-114
Phone: (508) 324-1171
Fax: (508) 324-1181

The provider's authorized official is Kris Mineau .
The authorized official title is Administrator and has the following contact phone number (860) 665-0174.

The CLIA number assigned to this NPI record is 22D1036317 - 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)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Repair of brow paralysis (HCPCS:67900)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66989)
  • Exchange of prosthetic lens (HCPCS:66986)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Creation of eye fluid drainage tract for treatment of glaucoma (HCPCS:66170)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/17/2007.

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
1261QS0132XClinic/CenterOphthalmologic SurgeryYes

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
1221051MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.