VISTA SURGICAL CENTER
NPI 1023373628
Clinic/Center - Ambulatory Surgical in Canton, OH

Active since July 10, 2012CLIA 36D2055608 · Waiver
4319 EXECUTIVE CIRCLE NW, CANTON, OH 44718(330) 526-0530(330) 526-0531 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Feb 10, 2020 (2 updates tracked since 2020).

About Vista Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTA SURGICAL CENTER (NPI 1023373628) is a healthcare organization registered as an ambulatory surgical in Canton, Ohio and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1023373628
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEYES ON STARK SURGERY CENTER, LLC
Location Address4319 EXECUTIVE CIRCLE NWCanton, OH 44718
Mailing Address4319 Executive Cir NwCanton, OH 44718-2999 · (330) 526-0530 · Fax (330) 526-0531
Fax(330) 526-0531
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateJuly 10, 2012
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
NPI 1023373628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4319 EXECUTIVE CIRCLE NW, Canton, OH 44718

Other Names 1

Doing Business AsVista Surgical Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2055608

Vista Surgical Center · Canton, OH
Active · expires Mar 13, 2027
CLIA Number36D2055608
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorSherri Anderson
Laboratory Phone(330) 526-0530
Laboratory LocationVista Surgical Center4319 Executive Circle NW, Canton, OH 44718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
2,160 services329 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
914 services584 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
580 services96 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
137 services102 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
69 services60 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
34 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyes On Stark Surgery Center, LLC's NPI number?

The NPI number for Eyes On Stark Surgery Center, LLC is 1023373628. It was assigned to this organization in the NPPES registry on July 10, 2012. The provider is doing business as Vista Surgical Center.

Where is Eyes On Stark Surgery Center, LLC located?

Eyes On Stark Surgery Center, LLC is located at 4319 Executive Circle NW, Canton, OH 44718. The listed phone number is (330) 526-0530.

What is Eyes On Stark Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Eyes On Stark Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2055608) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eyes On Stark Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Eyes On Stark Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eyes On Stark Surgery Center, LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.