# ASSOCIATED EYE SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1336547421
- **Authorized official:** JEFFREY E SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 1100 N TOPEKA ST, WICHITA, KS 67214-2810
- **Practice address phone:** (316) 263-6273
- **Mailing address:** 1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S-087-002 | KS | Yes |

## Other

- **Enumeration date:** 12/05/2014
- **Last updated:** 10/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17C0001023 | CMS CERTIFICATION NUMBER (CCN) | — |