NORTHLAND EYE SURGERY CENTER, LLC
NPI 1598879512
Clinic/Center - Ambulatory Surgical in Liberty, MO

Active since August 18, 2006CLIA 26D1052076 · Waiver
100 N CLAYVIEW DR, SUITE A, LIBERTY, MO 64068(816) 792-1900(816) 792-3548 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northland Eye Surgery Center, Llc NPPES

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

NORTHLAND EYE SURGERY CENTER, LLC (NPI 1598879512) is a healthcare organization registered as an ambulatory surgical in Liberty, Missouri and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Tyler F Brundige, President, as its authorized official.

NPPES Registry Identity

NPI1598879512
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHLAND EYE SURGERY CENTER, LLC
Location Address100 N CLAYVIEW DR, SUITE ALiberty, MO 64068-1117
Mailing Address100 N Clayview Dr, Suite ALiberty, MO 64068-1117 · (816) 792-1900 · Fax (816) 792-3548
Fax(816) 792-3548
Organization SubpartNo
Authorized OfficialTyler F BrundigePresident · (816) 792-1900
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1598879512 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 MO · 183-0
100 N CLAYVIEW DR, Liberty, MO 64068

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 26D1052076

Northland Eye Surgery Center LLC · Liberty, MO
Active · expires Mar 15, 2028
CLIA Number26D1052076
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorSusan Carney
Laboratory Phone(816) 792-8282
Laboratory LocationNorthland Eye Surgery Center LLC100 Clayview Dr, Ste A, Liberty, MO 64068
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 4

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.
346 services203 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.
145 services108 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.
92 services46 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.
15 services12 patients

Other Providers at the Same Location NPPES

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

Emergency Medicine
100 N CLAYVIEW DR
LIBERTY, MO 64068

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 Northland Eye Surgery Center, LLC's NPI number?

The NPI number for Northland Eye Surgery Center, LLC is 1598879512. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Northland Eye Surgery Center, LLC located?

Northland Eye Surgery Center, LLC is located at 100 N Clayview Dr Suite A, Liberty, MO 64068. The listed phone number is (816) 792-1900.

What is Northland Eye Surgery Center, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 26D1052076) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northland Eye Surgery Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Northland Eye Surgery Center, 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 Northland Eye Surgery Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.