Organization
ASSOCIATED EYE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1100 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 263-6273
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S-087-002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17C0001023
CMS CERTIFICATION NUMBER (CCN)
—
Enumeration date
12/05/2014
Last updated
10/10/2022
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