PRESTIGE LASER AND CATARACT INSTITUTE LLC
NPI 1518680347
Clinic/Center - Ambulatory Surgical in Kingman, AZ

Q: What is Prestige Laser And Cataract Institute LLC's specialty?

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

Active since September 26, 2022CLIA 03D2286745 · Waiver

710 EASTERN ST STE H, KINGMAN, AZ 86401(702) 561-7851 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2024, Sep 26, 2022 (2 updates tracked since 2022).

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About Prestige Laser And Cataract Institute Llc NPPES

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

PRESTIGE LASER AND CATARACT INSTITUTE LLC (NPI 1518680347) is a healthcare organization registered as an ambulatory surgical in Kingman, Arizona and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Tammy Lynn Musgrove, Administrator, as its authorized official.

NPPES Registry Identity

NPI1518680347

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePRESTIGE LASER AND CATARACT INSTITUTE LLC

Location Address710 EASTERN ST STE HKingman, AZ 86401-5486

Mailing Address710 Eastern St Ste HKingman, AZ 86401-5486 · (702) 561-7851

Phone(702) 561-7851

Organization SubpartNo

Authorized OfficialTammy Lynn MusgroveAdministrator · (702) 561-7851

Enumeration DateSeptember 26, 2022

Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration

NPPES CertifiedMarch 8, 2024

✔ NPI 1518680347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

710 EASTERN ST STE H, Kingman, AZ 86401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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)

Prestige Laser And Cataract Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prestige Laser And Cataract Institute LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Todd Jackson, M.D.

Ophthalmology

NPI 1609063775

710 EASTERN ST STE H
Kingman, AZ 86401

(928) 224-0536

✔ PECOS✔ Accepts MedicareSame address

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 03D2286745

Prestige Laser And Cataract Institute · Kingman, AZ

Active · expires Aug 1, 2027

CLIA Number03D2286745

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 2, 2025

Certificate Expiration DateAugust 1, 2027

Laboratory DirectorTodd L. Jackson

Laboratory Phone(928) 224-0536

Laboratory LocationPrestige Laser And Cataract Institute710 Eastern St Ste H, Kingman, AZ 86401

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 2

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.

828 services476 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.

35 services28 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 Prestige Laser And Cataract Institute LLC's NPI number?

The NPI number for Prestige Laser And Cataract Institute LLC is 1518680347. It was assigned to this organization in the NPPES registry on September 26, 2022.

Where is Prestige Laser And Cataract Institute LLC located?

Prestige Laser And Cataract Institute LLC is located at 710 Eastern St Ste H, Kingman, AZ 86401. The listed phone number is (702) 561-7851.

What is Prestige Laser And Cataract Institute LLC's specialty?

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

Is Prestige Laser And Cataract Institute LLC enrolled in Medicare?

Yes. Prestige Laser And Cataract Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prestige Laser And Cataract Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Prestige Laser And Cataract Institute LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prestige Laser And Cataract Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2286745) is associated with this NPI, valid through August 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prestige Laser And Cataract Institute LLC accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Prestige Laser And Cataract Institute 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 Prestige Laser And Cataract Institute LLC was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.