# VALLEY EYE INSTITUTE ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVP Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962455428
- **Authorized official:** JOSEPH PRAVOOT GIRA (VP, CMO)
- **Authorized official phone:** (636) 227-2600

## Contact information

- **Practice address:** 1118 FAIRINGTON DRIVE, SIDNEY, OH 45365
- **Practice address phone:** (937) 492-3755
- **Practice address fax:** (937) 492-1132
- **Mailing address:** 1118 FAIRINGTON DRIVE, SIDNEY, OH 45365
- **Mailing address phone:** (937) 492-3755
- **Mailing address fax:** (937) 492-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0728AS | OH | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 07/24/2024