Paducah Ophthalmology Asc LLC

Clinic/Center, Ambulatory Surgical in Paducah, KY. Organization (NPI-2).

NPI number1124091897

StatusActive

Last updated in NPPESMay 3, 2022

Details

NPI: 1124091897
Entity type: Organization (NPI-2)
Legal business name: Paducah Ophthalmology Asc LLC
Organization subpart: No
Enumeration date: Feb 10, 2006
Certification date: May 3, 2022
Last updated: May 3, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QA1903X	Clinic/Center, Ambulatory Surgical	300083	KY	Yes

Other names

The Eye Surgery Center Of Paducah (Doing Business As)

Practice location

100 Medical Center Dr
Paducah, KY 42003-7909

Phone 270-442-1024 · Fax 270-442-1001

Mailing address

1a Burton Hills Blvd
Attn: L&C
Nashville, TN 37215-6103

Phone 270-442-1024 · Fax 270-442-1001

Authorized official

Jeffrey Snodgrass
President
6156651283

Is something wrong?

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Other Ambulatory Surgical Clinic/Center providers in Paducah, KY

All 7 Ambulatory Surgical Clinic/Center providers in Paducah · All 2,647 providers in Paducah

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