OUTPATIENT SURGISITE
NPI 1104930411
Clinic/Center - Ambulatory Surgical in Marshall, TX

Active since August 17, 2006CLIA 45D1038765 · Waiver
401 E PINECREST DR UNIT A, MARSHALL, TX 75670(903) 938-8989(903) 938-9409 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Outpatient Surgisite NPPES

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

OUTPATIENT SURGISITE (NPI 1104930411) is a healthcare organization registered as an ambulatory surgical in Marshall, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Marvin Kenneth Hall, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104930411
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePINECREST EYE CENTER, INC
Location Address401 E PINECREST DR UNIT AMarshall, TX 75670-7207
Mailing Address405 E Pinecrest Dr Unit AMarshall, TX 75670-7200 · (903) 938-8989 · Fax (903) 938-9409
Fax(903) 938-9409
Organization SubpartNo
Authorized OfficialMarvin Kenneth HallMedical Director · (903) 938-8989
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
NPI 1104930411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in TX · 000173
401 E PINECREST DR UNIT A, Marshall, TX 75670

Other Names 1

Doing Business AsOutpatient Surgisite

Other Identifiers 2

OtherHH1313TX · Blue Cross
Medicaid085891201TX

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 45D1038765

Pinecrest Eye Center Dba Outpatient Surgery Site · Marshall, TX
Active · expires Mar 27, 2027
CLIA Number45D1038765
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorM Kenny Hall, MD
Laboratory Phone(903) 938-2008
Laboratory LocationPinecrest Eye Center Dba Outpatient Surgery Site405 A East Pinecrest Drive, Marshall, TX 75670
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

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.
96 services69 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.
46 services40 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.
24 services21 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 Pinecrest Eye Center, Inc's NPI number?

The NPI number for Pinecrest Eye Center, Inc is 1104930411. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider is doing business as Outpatient Surgisite.

Where is Pinecrest Eye Center, Inc located?

Pinecrest Eye Center, Inc is located at 401 E Pinecrest Dr Unit A, Marshall, TX 75670. The listed phone number is (903) 938-8989.

What is Pinecrest Eye Center, Inc's specialty?

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

Does Pinecrest Eye Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1038765) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pinecrest Eye Center, Inc accept?

Health plans from Blue Cross and Blue Shield of Texas list Pinecrest Eye Center, Inc 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 Pinecrest Eye Center, Inc was last updated on August 22, 2022. 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.