PREMIER EYE SURGERY LLC
NPI 1932819836
Clinic/Center - Ambulatory Surgical in Port Orange, FL

Active since December 01, 2022
3641 CLYDE MORRIS BLVD STE 500, PORT ORANGE, FL 32129(386) 788-6198 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2023, Dec 1, 2022 (2 updates tracked since 2022).

About Premier Eye Surgery Llc NPPES

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

PREMIER EYE SURGERY LLC (NPI 1932819836) is a healthcare organization registered as an ambulatory surgical in Port Orange, Florida and active in the NPI registry since December 2022. The organization lists Qing Ge, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1932819836
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER EYE SURGERY LLC
Location Address3641 CLYDE MORRIS BLVD STE 500Port Orange, FL 32129-2357
Mailing Address3641 Clyde Morris Blvd Ste 500Port Orange, FL 32129-2357 · (386) 788-6198
Organization SubpartNo
Authorized OfficialQing GeMedical Director · (386) 788-6198
Enumeration DateDecember 1, 2022
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1932819836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
3641 CLYDE MORRIS BLVD STE 500, Port Orange, FL 32129

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20606879
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

Other Providers at the Same Location NPPES

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

Ophthalmology (Glaucoma Specialist)
3641 CLYDE MORRIS BLVD STE 500
PORT ORANGE, FL 32129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932819836, enumerated as an "organization" on December 01, 2022.

The provider is located at 3641 CLYDE MORRIS BLVD STE 500 PORT ORANGE, FL 32129 and the phone number is (386) 788-6198.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.