| Fry Eye Surgery Center, Llc | |
|
411 Campus Drive Garden City KS 67846-6124 | |
| (620) 276-7699 | |
| (620) 276-7704 |
| Full Name | Fry Eye Surgery Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 411 Campus Drive, Garden City, Kansas |
| Authorized Official Name and Position | William S Clifford (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 6202757248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fry Eye Surgery Center, Llc 411 Campus Drive Garden City KS 67846-6124 Ph: (620) 276-7699 | Fry Eye Surgery Center, Llc 411 Campus Drive Garden City KS 67846-6124 Ph: (620) 276-7699 |
| NPI Number | 1528080876 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 6901954668 |
|---|---|
| Medicare Enrollment ID | O20090507000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528080876 | NPI | - | NPPES |
| 100750170A | Medicaid | OK | |
| 94510021 | Medicaid | CO | |
| 100305010A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
St. Catherine Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 E Spruce Street, Garden City, KS 67846 Phone: 620-272-2222 Fax: 620-272-2216 | |
United Methodist Western Kansas Mexican American Ministries, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 N Henderson Dr, Garden City, KS 67846 Phone: 620-272-0570 Fax: 620-271-0582 | |
United Methodist Western Kansas Mexican-american Ministries, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712a Saint John St, Garden City, KS 67846 Phone: 620-275-1766 Fax: 620-275-4729 | |
Williams Medical Group Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Fleming St, Garden City, KS 67846 Phone: 620-277-2010 | |
St Catherine Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2051 E Mary St, Garden City, KS 67846 Phone: 620-272-2222 Fax: 620-272-2216 | |
Revere Healthcare Solutions, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Fleming St, Garden City, KS 67846 Phone: 620-271-1424 | |
Plaza Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 N Main St, Garden City, KS 67846 Phone: 620-276-8201 Fax: 620-275-0712 |