# AD ASTRA EYE SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134838824
- **Authorized official:** M. SCOTT HICKMAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (785) 424-8805

## Contact information

- **Practice address:** 4955 RESEARCH PARK WAY, LAWRENCE, KS 66047
- **Practice address phone:** (785) 424-8805
- **Mailing address:** 4955 RESEARCH PARK WAY, LAWRENCE, KS 66047
- **Mailing address phone:** (785) 424-8805

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2022
- **Last updated:** 07/26/2023