EYE SURGERY CENTER OF WISCONSIN, LLC
NPI 1205454626
Clinic/Center - Ambulatory Surgical in Oak Creek, WI

Active since July 13, 2020CLIA 52D2200068 · Waiver
10148 S 27TH ST, OAK CREEK, WI 53154(414) 377-9000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Aug 20, 2024, Jul 13, 2020 (3 updates tracked since 2020).

About Eye Surgery Center Of Wisconsin, Llc NPPES

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

EYE SURGERY CENTER OF WISCONSIN, LLC (NPI 1205454626) is a healthcare organization registered as an ambulatory surgical in Oak Creek, Wisconsin and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Robert Mccarville, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205454626
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEYE SURGERY CENTER OF WISCONSIN, LLC
Location Address10148 S 27TH STOak Creek, WI 53154-5528
Mailing Address10148 S 27th StOak Creek, WI 53154-5528 · (414) 377-9000
Organization SubpartNo
Authorized OfficialRobert MccarvilleAdministrator · (417) 889-2040
Enumeration DateJuly 13, 2020
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1205454626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10148 S 27TH ST, Oak Creek, WI 53154

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 52D2200068

Eye Surgery Center Of Wisconsin, LLC · Oak Creek, WI
Active · expires Nov 12, 2026
CLIA Number52D2200068
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDr. Moss B. Hart
Laboratory Phone(262) 208-4676
Laboratory LocationEye Surgery Center Of Wisconsin, LLC10148 S 27th St, Oak Creek, WI 53154
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
2,280 services358 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.
1,684 services246 patients
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.
1,007 services625 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.
141 services103 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
90 services65 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.
68 services58 patients

Other Providers at the Same Location NPPES 2

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

Anesthesiology
10148 S 27TH ST
OAK CREEK, WI 53154
Nurse Anesthetist, Certified Registered
10148 S 27TH ST
OAK CREEK, WI 53154

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 Eye Surgery Center Of Wisconsin, LLC's NPI number?

The NPI number for Eye Surgery Center Of Wisconsin, LLC is 1205454626. It was assigned to this organization in the NPPES registry on July 13, 2020.

Where is Eye Surgery Center Of Wisconsin, LLC located?

Eye Surgery Center Of Wisconsin, LLC is located at 10148 S 27th St, Oak Creek, WI 53154. The listed phone number is (414) 377-9000.

What is Eye Surgery Center Of Wisconsin, LLC's specialty?

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

Does Eye Surgery Center Of Wisconsin, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2200068) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Surgery Center Of Wisconsin, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health and 1 other insurer list Eye Surgery Center Of Wisconsin, 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 Eye Surgery Center Of Wisconsin, LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.