# ADVANCED EYE SURGERY CENTER, L.L.C.

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

## Provider details

- **NPI number:** 1669772893
- **Authorized official:** JOSEPH GIRA MD (CMO)
- **Authorized official phone:** (636) 227-2600

## Contact information

- **Practice address:** 1602 W 15TH AVE, SUITE A, EMPORIA, KS 66801-5672
- **Practice address phone:** (620) 343-7200
- **Practice address fax:** (620) 342-7895
- **Mailing address:** 15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
- **Mailing address phone:** (636) 227-2600

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 06/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30003887780001 | — | KS |