PHOENIX OPHTHALMOLOGY ASC LLC NPI 1760454557

NPI Information

NPI: 1760454557
Provider Name: PHOENIX OPHTHALMOLOGY ASC LLC

Doing Business As: ARIZONA OPHTHALMIC OUTPATIENT SURGERY

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

Specialization: Ambulatory Surgical

Address:
300 E OSBORN RD
SUITE 102
PHOENIX, AZ
ZIP 85012
Phone: (602) 234-8478
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PHOENIX OPHTHALMOLOGY ASC LLC is an ambulatory surgical clinic center in Phoenix, AZ. PHOENIX OPHTHALMOLOGY ASC LLC NPI is 1760454557. The provider is registered as an organization entity type.
The provider Is Doing Business As Arizona Ophthalmic Outpatient Surgery.

The provider's business location address is:

300 E OSBORN RD
SUITE 102
PHOENIX, AZ
ZIP 85012-347
Phone: (602) 234-8478
Fax: (602) 234-8492

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 03D0903056 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 9/9/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OSC0082	ARIZONA	Yes

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: 5/5/2024

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