NOVAMED SURGERY CENTER OF OAK LAWN LLC NPI 1518967082

NPI Information

  • NPI: 1518967082
  • Provider Name: NOVAMED SURGERY CENTER OF OAK LAWN, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: EYESOUTH SURGERY CENTER AT OAK LAWN
  • CLIA Number: 14D0895400
  • Address: 6311 W 95TH ST
    OAK LAWN, IL
    ZIP 60453
  • Phone: (708) 499-3355

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NPI Details

NOVAMED SURGERY CENTER OF OAK LAWN, LLC is an ambulatory surgical clinic center in Oak Lawn, IL. NOVAMED SURGERY CENTER OF OAK LAWN, LLC NPI is 1518967082. The provider is registered as an organization entity type.
The provider Is Doing Business As Eyesouth Surgery Center At Oak Lawn.

The provider's business location address is:

6311 W 95TH ST
OAK LAWN, IL
ZIP 60453-201
Phone: (708) 499-3355
Fax: (708) 425-5654

The provider's authorized official is Candice B Davis .
The authorized official title is Chief Revenue Cycle Officer and has the following contact phone number (916) 990-7590.

The CLIA number assigned to this NPI record is 14D0895400 - 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 cataract with insertion of prosthetic lens (HCPCS:66984)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)

The enumeration date for this NPI number is 7/27/2005 and was last updated on 9/11/2024.

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 Surgical7002843ILLINOISYes

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
1P00163716OTHERRR 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: 3/30/2025

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