# PHOENIX EYE SURGICAL CENTER PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Phoenix Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013021682
- **Authorized official:** DON BACA (MANAGER)
- **Authorized official phone:** (602) 279-0044

## Contact information

- **Practice address:** 5133 N CENTRAL AVE, SUITE 100, PHOENIX, AZ 85012-1438
- **Practice address phone:** (602) 279-0044
- **Practice address fax:** (602) 279-0088
- **Mailing address:** 5133 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-1438
- **Mailing address phone:** (602) 279-0044
- **Mailing address fax:** (602) 279-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 04/20/2026