Organization
SURGICENTER LTD
Active
Other names
Bloomberg Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIN SHAHINFAR MD (MEDICAL DIRECTOR OWNER)
(740) 522-3937
Entity
Organization
Contact information
Practice address
1651 WEST MAIN STREET, NEWARK, OH 43055-1345
(740) 522-5029
(740) 522-6766
Mailing address
1651 WEST MAIN STREET, NEWARK, OH 43055-1345
(740) 522-5029
(740) 522-6766
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0086A5
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258079
—
OH
Enumeration date
09/27/2006
Last updated
08/22/2020
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