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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AESTHETIC SURGERY CENTER OF EUGENE INC
NPI 1174520191
Clinic/Center - Ambulatory Surgical in Eugene, OR

Active since July 05, 2005CLIA 38D1008460 · Waiver
2550 WILLAKENZIE RD STE 2, EUGENE, OR 97401(541) 434-0922(541) 434-4369 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Jun 5, 2025 (2 updates tracked since 2025).

About Aesthetic Surgery Center Of Eugene Inc NPPES

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

AESTHETIC SURGERY CENTER OF EUGENE INC (NPI 1174520191) is a healthcare organization registered as an ambulatory surgical in Eugene, Oregon and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Shawna Vanderveen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174520191
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAESTHETIC SURGERY CENTER OF EUGENE INC
Location Address2550 WILLAKENZIE RD STE 2Eugene, OR 97401-7865
Mailing Address2550 Willakenzie Rd Ste 2Eugene, OR 97401-7865 · (541) 434-0922 · Fax (541) 434-4369
Phone(541) 434-0922
Fax(541) 434-4369
Organization SubpartNo
Authorized OfficialShawna VanderveenAdministrator · (541) 434-4370
Enumeration DateJuly 5, 2005
Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1174520191 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 OR · 071545
2550 WILLAKENZIE RD STE 2, Eugene, OR 97401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 38D1008460

Aesthetic Surgery Center Of Eugene · Eugene, OR
Active · expires Jan 20, 2027
CLIA Number38D1008460
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorBlake V. Fausett
Laboratory Phone(541) 434-0922
Laboratory LocationAesthetic Surgery Center Of Eugene2550 Willakenzie Rd, Eugene, OR 97401
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 5

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.

Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
114 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.
71 services37 patients
Extensive repair of turning-outward eyelid defect 67917
This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.
38 services26 patients
Extensive repair of turning-inward eyelid defect 67924
This procedure helps correct an eyelid defect where the eyelid turns inward, causing discomfort or vision issues. A surgeon makes precise adjustments to the eyelid's structure, alleviating the inward turn and improving eye health and comfort.
16 services12 patients
Probing of nasal tear duct with insertion of tube or stent 68815
This procedure treats blocked tear ducts. A thin probe is gently inserted into the tear duct to clear any blockage. Afterwards, a small tube or stent is placed to keep the pathway open, allowing tears to drain normally again.
15 services14 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 Aesthetic Surgery Center Of Eugene Inc's NPI number?

The NPI number for Aesthetic Surgery Center Of Eugene Inc is 1174520191. It was assigned to this organization in the NPPES registry on July 5, 2005.

Where is Aesthetic Surgery Center Of Eugene Inc located?

Aesthetic Surgery Center Of Eugene Inc is located at 2550 Willakenzie Rd Ste 2, Eugene, OR 97401. The listed phone number is (541) 434-0922.

What is Aesthetic Surgery Center Of Eugene Inc's specialty?

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

Does Aesthetic Surgery Center Of Eugene Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1008460) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aesthetic Surgery Center Of Eugene Inc accept?

Health plans from Moda Health Plan, Inc. list Aesthetic Surgery Center Of Eugene 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 Aesthetic Surgery Center Of Eugene Inc was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.