Organization
ADVANCED EYE SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GIRA MD (CMO)
(636) 227-2600
Entity
Organization
Contact information
Practice address
1602 W 15TH AVE, SUITE A, EMPORIA, KS 66801-5672
(620) 343-7200
(620) 342-7895
Mailing address
15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
(636) 227-2600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003887780001
—
KS
Enumeration date
10/21/2010
Last updated
06/30/2023
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