INNOVATIVE EYE SURGERY CENTER, PLLC
NPI 1063905818
Clinic/Center - Ambulatory Surgical in Paducah, KY
About Innovative Eye Surgery Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE EYE SURGERY CENTER, PLLC (NPI 1063905818) is a healthcare organization registered as an ambulatory surgical in Paducah, Kentucky and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Barbara Bowers, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Innovative Eye Surgery Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Innovative Eye Surgery Center, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 18D2149664
Innovative Eye Surgery Center, PLLC · Paducah, KYAreas of Expertise CMS Part B claims 4
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.
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 Innovative Eye Surgery Center, PLLC's NPI number?
The NPI number for Innovative Eye Surgery Center, PLLC is 1063905818. It was assigned to this organization in the NPPES registry on June 7, 2018.
Where is Innovative Eye Surgery Center, PLLC located?
Innovative Eye Surgery Center, PLLC is located at 1130 Lone Oak Rd Ste B, Paducah, KY 42003. The listed phone number is (270) 538-9858.
What is Innovative Eye Surgery Center, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Innovative Eye Surgery Center, PLLC enrolled in Medicare?
Yes. Innovative Eye Surgery Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Eye Surgery Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Innovative Eye Surgery Center, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3), Certified Registered Nurse Anesthetist (CRNA) (1) and Optometry (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Innovative Eye Surgery Center, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2149664) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Innovative Eye Surgery Center, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Innovative Eye Surgery Center, PLLC 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 Innovative Eye Surgery Center, PLLC was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Innovative Eye Surgery Center, Pllc · NPI 1063905818
Ambulatory Surgical organization in Paducah, Kentucky. Organization record, active in the CMS NPPES registry since June 7, 2018.
## Identity
- **NPI:** 1063905818 (Entity type: Organization)
- **Enumerated:** June 7, 2018
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Barbara Bowers, OWNER
## Practice location
- **Address:** 1130 LONE OAK RD STE B, Paducah, KY 42003-4525
- **Phone:** (270) 538-9858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (3), Certified Registered Nurse Anesthetist (CRNA) (1), Optometry (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2018
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1063905818) · Data from the CMS NPPES public registry.