THE EYE SURGERY CENTER OF PADUCAH
NPI 1124091897
Clinic/Center - Ambulatory Surgical in Paducah, KY

Q: What is Paducah Ophthalmology ASC LLC's NPI number?

The NPI number for Paducah Ophthalmology ASC LLC is 1124091897. It was assigned to this organization in the NPPES registry on February 10, 2006. The provider is doing business as The Eye Surgery Center Of Paducah.

Q: What is Paducah Ophthalmology ASC LLC's specialty?

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

Active since February 10, 2006CLIA 18D0648616 · Waiver

100 MEDICAL CENTER DR, PADUCAH, KY 42003(270) 442-1024(270) 442-1001 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2022, Aug 17, 2018 (2 updates tracked since 2018).

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About The Eye Surgery Center Of Paducah NPPES

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

THE EYE SURGERY CENTER OF PADUCAH (NPI 1124091897) is a healthcare organization registered as an ambulatory surgical in Paducah, Kentucky and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1124091897

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePADUCAH OPHTHALMOLOGY ASC LLC

Location Address100 MEDICAL CENTER DRPaducah, KY 42003-7909

Mailing Address1a Burton Hills Blvd, Attn: L&cNashville, TN 37215-6103 · (270) 442-1024 · Fax (270) 442-1001

Phone(270) 442-1024

Fax(270) 442-1001

Organization SubpartNo

Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283

Enumeration DateFebruary 10, 2006

Last NPPES UpdateMay 3, 20222 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1124091897 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 KY · 300083

100 MEDICAL CENTER DR, Paducah, KY 42003

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Other Names 1

Doing Business AsThe Eye Surgery Center Of Paducah

Other Identifiers 2

Other000000231770KY · Anthem Blue Cross Blue Sh

Medicaid36001212KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Eye Surgery Center Of Paducah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20050502000492Non-DME Part B · Ambulatory Surgical CenterDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 18D0648616

Paducah Ophthalmology ASC, LLC · Paducah, KY

Active · expires Aug 31, 2028

CLIA Number18D0648616

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorMs. Melissa Floyd

Laboratory Phone(270) 442-1024

Laboratory LocationPaducah Ophthalmology ASC, LLC100 Medical Center Drive, Paducah, KY 42003

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 7

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.

1,307 services757 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.

494 services319 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.

300 services56 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

71 services48 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

66 services41 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.

53 services27 patients

Other Providers at the Same Location NPPES 9

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

DONALD KENNETH STEWART CRNA

Nurse Anesthetist, Certified Registered