VISION PARK SURGERY CENTER, LLC
NPI 1033773023
Clinic/Center - Ambulatory Surgical in Shenandoah, TX

Active since April 25, 2019CLIA 45D2178247 · Waiver
111 VISION PARK BLVD STE 200, SHENANDOAH, TX 77384(281) 845-3378(936) 267-3166 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, Apr 25, 2019 (2 updates tracked since 2019).

About Vision Park Surgery Center, Llc NPPES

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

VISION PARK SURGERY CENTER, LLC (NPI 1033773023) is a healthcare organization registered as an ambulatory surgical in Shenandoah, Texas and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Erwin Lo, Owner, as its authorized official.

NPPES Registry Identity

NPI1033773023
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVISION PARK SURGERY CENTER, LLC
Location Address111 VISION PARK BLVD STE 200Shenandoah, TX 77384-3006
Mailing Address111 Vision Park Blvd Ste 200Shenandoah, TX 77384-3006 · (281) 845-3378 · Fax (936) 267-3166
Fax(936) 267-3166
Organization SubpartNo
Authorized OfficialErwin LoOwner · (281) 845-3378
Enumeration DateApril 25, 2019
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
NPI 1033773023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
111 VISION PARK BLVD STE 200, Shenandoah, TX 77384

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 45D2178247

Vision Park Surgery Center LLC · Shenandoah, TX
Active · expires Jan 28, 2028
CLIA Number45D2178247
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorMartha Smikal
Laboratory Phone(281) 845-3378
Laboratory LocationVision Park Surgery Center LLC111 Vision Park Surgery Enter, Shenandoah, TX 77384
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
16 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
111 VISION PARK BLVD STE 200
SHENANDOAH, TX 77384

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 Vision Park Surgery Center, LLC's NPI number?

The NPI number for Vision Park Surgery Center, LLC is 1033773023. It was assigned to this organization in the NPPES registry on April 25, 2019.

Where is Vision Park Surgery Center, LLC located?

Vision Park Surgery Center, LLC is located at 111 Vision Park Blvd Ste 200, Shenandoah, TX 77384. The listed phone number is (281) 845-3378.

What is Vision Park Surgery Center, LLC's specialty?

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

Does Vision Park Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2178247) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vision Park Surgery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Vision Park 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 Vision Park Surgery Center, LLC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.