Fry Eye Surgery Center, Llc
LBN: Fry Eye Surgery Center, Llc
Fry Eye Surgery Center, Llc is an health care organization with primary practice located at 411 Campus Drive , Garden City KS 67846-6124. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Fry Eye Surgery Center, Llc can be contacted via phone (620) 276-7699, or through Clifford, William S via phone (620) 275-7248.
Contact Information
Primary practice address
411 Campus Drive
Garden City KS 67846-6124
Phone: (620) 276-7699
Fax: (620) 276-7704
Website:
Authorized official contact:
Name: Clifford, William S Doctor of Medicine (MD)
Phone: (620) 275-7248
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1528080876 |
|---|---|
| LBN Legal business name | Fry Eye Surgery Center, Llc |
| DBA Doing business as | |
| Authorized official | Clifford, William S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Aug 10th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528080876 | NPPES |
| Oklahoma | MEDICAID | 100750170A | |
| Oklahoma | MEDICAID | 94510021 | |
| Oklahoma | MEDICAID | 100305010A |
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