RIDGE LAKE ASC, LLC
NPI 1790844132
Clinic/Center - Ophthalmologic Surgery in Memphis, TN

Active since December 08, 2006
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120(901) 685-2200(901) 820-2342 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, Jun 16, 2017, Feb 1, 2016 (3 updates tracked since 2016).

About Ridge Lake Asc, Llc NPPES

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

RIDGE LAKE ASC, LLC (NPI 1790844132) is a healthcare organization registered as an ophthalmologic surgery in Memphis, Tennessee and active in the NPI registry since December 2006. The organization lists Subba R Gollamudi, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1790844132
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameRIDGE LAKE ASC, LLC
Location Address825 RIDGE LAKE BLVDMemphis, TN 38120-9411
Mailing Address825 Ridge Lake BlvdMemphis, TN 38120-9411 · (901) 685-2200 · Fax (901) 820-2342
Fax(901) 820-2342
Organization SubpartNo
Authorized OfficialSubba R GollamudiManaging Partner · (901) 685-2200
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1790844132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
License Licensed in TN · 0000000049
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 0000000049 (TN)
825 RIDGE LAKE BLVD, Memphis, TN 38120

Other Identifiers 3

Medicaid190552128AR
Medicaid00074013MS
MedicaidQ016777TN

Accepted Insurance

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.

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.
1,979 services348 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.
1,725 services1,116 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.
671 services469 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.
115 services104 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.
79 services60 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.
77 services48 patients

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Ophthalmology
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Optometrist
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120
Registered Nurse
825 RIDGE LAKE BLVD
MEMPHIS, TN 38120

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 Ridge Lake ASC, LLC's NPI number?

The NPI number for Ridge Lake ASC, LLC is 1790844132. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Ridge Lake ASC, LLC located?

Ridge Lake ASC, LLC is located at 825 Ridge Lake Blvd, Memphis, TN 38120. The listed phone number is (901) 685-2200.

What is Ridge Lake ASC, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

What insurance does Ridge Lake ASC, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 7 other insurers list Ridge Lake ASC, 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 Ridge Lake ASC, LLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.