# LAS VEGAS OPHTHALMOLOGY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Surgery Centers of Las Vegas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003889395
- **Authorized official:** MS. BILLIE A PAYNE (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 2575 LINDELL RD, LAS VEGAS, NV 89146-5409
- **Practice address phone:** (702) 367-7874
- **Practice address fax:** (702) 227-6055
- **Mailing address:** 2575 LINDELL RD, LAS VEGAS, NV 89146-5409
- **Mailing address phone:** (702) 367-7874
- **Mailing address fax:** (702) 227-6055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 456ASC-10 | NV | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 09/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004602003 | — | NV |
| 05 | — | 777021 | — | AZ |