Organization · NPI-2

Ad Astra Eye Surgery LLC

Clinic/Center, Ambulatory Surgical · Lawrence, KS

NPI number1134838824
StatusActive
Last updated in NPPESJul 26, 2023

Details

NPI
1134838824
Entity type
Organization (NPI-2)
Legal business name
Ad Astra Eye Surgery LLC
Organization subpart
No
Enumeration date
Nov 21, 2022
Certification date
Jul 26, 2023
Last updated
Jul 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical––Yes
261QS0132X Clinic/Center, Ophthalmologic Surgery––

Practice location

4955 Research Park Way
Lawrence, KS 66047

Phone 785-424-8805

Mailing address

4955 Research Park Way
Lawrence, KS 66047

Phone 785-424-8805

Authorized official

M. Scott Hickman
Medical Director
7854248805

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