MAE PHYSICIANS SURGERY CENTER, LLC
NPI 1033190129
Clinic/Center - Ambulatory Surgical in Jackson, MS

NPI Status: Active since November 07, 2005

Contact Information

1190 N STATE ST
STE 102
JACKSON, MS
ZIP 39202
Phone: (601) 968-1790
Fax: (601) 292-4531

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 25D0971993
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-27-2026

About MAE PHYSICIANS SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Mae Physicians Surgery Center, Llc, a provider established in Jackson, Mississippi operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1033190129 assigned on November 2005. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Carla Glaze (Administrator)

NPI
1033190129
Provider Name
MAE PHYSICIANS SURGERY CENTER, LLC
Entity Type
Organization
Location Address
1190 N STATE ST STE 102 JACKSON, MS 39202
Location Phone
(601) 968-1790
Location Fax
(601) 292-4531
Mailing Address
PO BOX 12673 JACKSON, MS 39236
Mailing Phone
(601) 968-1790
Mailing Fax
(601) 292-4531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2005
Last Update Date
04-10-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CARLA GLAZE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(601) 968-1790

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 28 times for 22 patients

Complex removal of cataract with insertion of prosthetic lens

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.

This service was performed 98 times for 75 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

This service was performed 55 times for 49 patients

Creation of shunt to improve eye fluid flow using tissue graft

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

This service was performed 24 times for 23 patients

Creation of sling around urethra in female to control leakage

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

This service was performed 18 times for 18 patients

Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser

This procedure involves using a laser to eliminate the fluid (vitreous) between your lens and retina, along with the entire retina. It's a method often used to treat various eye conditions and improve eye health.

This service was performed 14 times for 14 patients

Dilation of bladder using an endoscope under general or spinal anesthesia

This is a procedure where a special instrument called an endoscope is used to widen your bladder. It's done under anesthesia, so you won't feel anything. It helps with various bladder conditions by improving flow and reducing discomfort.

This service was performed 26 times for 25 patients

Dilation to improve eye fluid flow

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

This service was performed 16 times for 13 patients

Exchange of prosthetic lens

An exchange of a prosthetic lens involves replacing an artificial lens in your eye. This is often done if the current lens isn't functioning properly or causing discomfort. The procedure involves removing the old lens and inserting a new one, aiming to improve your vision.

This service was performed 32 times for 31 patients

Extensive repair of turning-inward eyelid defect

This procedure helps correct an eyelid defect where the eyelid turns inward, causing discomfort or vision issues. A surgeon makes precise adjustments to the eyelid's structure, alleviating the inward turn and improving eye health and comfort.

This service was performed 18 times for 12 patients

Extensive repair of turning-outward eyelid defect

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

This service was performed 26 times for 17 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 505 times for 263 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope

This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.

This service was performed 20 times for 18 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 121 times for 53 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 250 times for 174 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 129 times for 92 patients

Injection of trigger points, 3 or more muscles

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

This service was performed 76 times for 44 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 70 times for 35 patients

Insertion of peripheral or gastric neurostimulator generator

The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.

This service was performed 119 times for 117 patients

Insertion of sacral nerve neurostimulator electrode

The insertion of a sacral nerve neurostimulator electrode is a procedure to help manage chronic pain. A small device is placed under the skin near the lower back. This device sends mild electrical pulses to the nerves in the lower spine, helping to control pain signals.

This service was performed 51 times for 50 patients

Insertion of sacral nerve neurostimulator electrode array

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

This service was performed 288 times for 118 patients

Plastic repair of tear duct

Plastic repair of the tear duct, also known as dacryocystorhinostomy, is a surgical procedure to create a new pathway for tears to drain from the eye when the natural tear duct is blocked. This helps to reduce symptoms like excessive tearing and infection.

This service was performed 25 times for 15 patients

Plastic repair of vagina and tissue separating vagina, rectum, and bladder

This procedure involves the surgical restoration of the body's lower passage and the tissue that separates it from the waste and urine disposal systems. It's done to improve comfort and function due to conditions like injury or aging.

This service was performed 12 times for 12 patients

Processing, preserving and transporting corneal tissue

Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.

This service was performed 19 times for 19 patients

Realignment of horizontal eye muscle

Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.

This service was performed 19 times for 13 patients

Removal of cataract with insertion of prosthetic lens

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.

This service was performed 1,265 times for 786 patients

Removal of excessive skin and fat of upper eyelid

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.

This service was performed 96 times for 50 patients

Removal of eye fluid (vitreous) between lens and retina

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

This service was performed 77 times for 66 patients

Removal of membrane of retina

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

This service was performed 68 times for 66 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 43 times for 43 patients

Removal of recurring cataract in lens capsule using a laser

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.

This service was performed 132 times for 105 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

This service was performed 31 times for 31 patients

Repair of tendon of upper eyelid

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

This service was performed 70 times for 39 patients

Revision of peripheral neurostimulator electrodes

Revision of peripheral neurostimulator electrodes is a procedure that adjusts or replaces the tiny devices placed near your nerves. These electrodes help control pain signals to your brain, improving your comfort. The revision ensures they're working optimally.

This service was performed 20 times for 20 patients

Revision of peripheral or gastric neurostimulator generator

A revision of a peripheral or gastric neurostimulator generator is a procedure to adjust or replace a device implanted in your body. This device sends mild electrical signals to nerves, aiding in managing conditions like chronic pain or stomach issues. The adjustment improves its function.

This service was performed 19 times for 19 patients

Transplantation of outer layer of corneal tissue

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

This service was performed 17 times for 17 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D0971993
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 28, 2024
Certificate Expiration Date
March 27, 2026
Laboratory Director
CARLA M. GLAZE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mae Physicians Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033190129
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206329014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 9 + 0 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1033190129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184629818DR. WILSON E MOAK MD
Individual
Ophthalmology1190 N STATE ST STE 403
JACKSON, MS 39202
(601) 353-2020
1104822303DR. ROBERT O MAY SR. M.D.
Individual
Ophthalmology1190 N STATE ST STE 403
JACKSON, MS 39202
(601) 353-2020
1881694354JACKSON EYE ASSOCIATES PLLC
Organization
Durable Medical Equipment & Medical Supplies1190 N STATE ST SUITE 101
JACKSON, MS 39202
(601) 352-0025
1154390516 ROBERT TIM MORRIS MD
Individual
Family Medicine1190 N STATE ST LOWER LEVEL
JACKSON, MS 39202
(601) 968-1377
1770552135 MARTHA D DICKENS MD
Individual
Family Medicine1190 N STATE ST SUITE 201
JACKSON, MS 39202
(601) 973-1624
1396806857CENTRAL MEDICAL CLINIC, P.A.
Organization
Internal Medicine1190 N STATE ST SUITE 201
JACKSON, MS 39202
(601) 352-7011
1275838997MRS. ERIN M MARTIN LPTA
Individual
Physical Therapy Assistant1190 N STATE ST
JACKSON, MS 39202
(601) 968-1148
1295030757MRS. GRAY PACE PT
Individual
Physical Therapist1190 N STATE ST
JACKSON, MS 39202
(601) 968-1148
1518238807BAPTIST NUTRITION CLINIC
Organization
Nutritionist (Nutrition, Education)1190 N STATE ST SUITE 204
JACKSON, MS 39202
(601) 944-1717
1225396252 COREY WHITE PTA
Individual
Physical Therapy Assistant1190 N STATE ST PT DEPARTMENT
JACKSON, MS 39202
(601) 968-1148
1356602379NEWBORN ASSOCIATES PA
Organization
Pediatrics (Pediatric Cardiology)1190 N STATE ST SUITE 200
JACKSON, MS 39202
(601) 944-1717
1043225527DR. HAL GREGORY FISER MD
Individual
Surgery1190 N STATE ST SUITE 502
JACKSON, MS 39202
(601) 944-1781
1750583415DR. LEE M NICOLS MD
Individual
Surgery1190 N STATE ST SUITE 502
JACKSON, MS 39202
(601) 944-1781
1104166362JACKSON ANESTHESIA PAIN CENTER, LLC
Organization
Pain Medicine (Pain Medicine)1190 N STATE ST SUITE 300
JACKSON, MS 39202
(601) 709-0607
1780028670R DEAVER COLLINS MD PA
Organization
Internal Medicine (Rheumatology)1190 N STATE ST SUITE 302
JACKSON, MS 39202
(601) 353-7090
1568673689 FARRAH D NEWMAN M. D.
Individual
Ophthalmology1190 N STATE ST SUITE 403
JACKSON, MS 39202
(601) 353-2020
1366866154MRS. COURTNEY WRIGHT PA-C
Individual
Physician Assistant1190 N STATE ST SUITE 502
JACKSON, MS 39202
(601) 944-1781
1861674723JACKSON SURGICAL GROUP PA
Organization
Surgery1190 N STATE ST SUITE L01
JACKSON, MS 39202
(601) 292-4292
1386961449 LAURA NAIL NP
Individual
Nurse Practitioner (Family)1190 N STATE ST SUITE 202
JACKSON, MS 39202
(601) 949-9994
1376940130MR. JOEL CHRISTOPHER BOOTHE RN, BSN
Individual
Registered Nurse1190 N STATE ST SUITE 301
JACKSON, MS 39202
(769) 233-8239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033190129, enumerated in the NPI registry as an "organization" on November 07, 2005

The provider is located at 1190 N State St Ste 102 Jackson, Ms 39202 and the phone number is (601) 968-1790

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Complex removal of cataract with insertion of prosthetic lens, Complex repair of detached retina and drainage of eye fluid between lens and retina, Creation of shunt to improve eye fluid flow using tissue graft, Creation of sling around urethra in female to control leakage, Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser, Dilation of bladder using an endoscope under general or spinal anesthesia, Dilation to improve eye fluid flow, Exchange of prosthetic lens, Extensive repair of turning-inward eyelid defect, Extensive repair of turning-outward eyelid defect, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, Injection of implant material beneath lining of bladder and/or urethra using an endoscope, Injection of lower or sacral spine facet joint using imaging guidance, single level, Injection of substance into lower spine canal using imaging guidance, Injection of substance into middle or upper spine canal using imaging guidance, Injection of trigger points, 3 or more muscles, Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography, Insertion of peripheral or gastric neurostimulator generator, Insertion of sacral nerve neurostimulator electrode, Insertion of sacral nerve neurostimulator electrode array, Plastic repair of tear duct, Plastic repair of vagina and tissue separating vagina, rectum, and bladder, Processing, preserving and transporting corneal tissue, Realignment of horizontal eye muscle, Removal of cataract with insertion of prosthetic lens, Removal of excessive skin and fat of upper eyelid, Removal of eye fluid (vitreous) between lens and retina, Removal of membrane of retina, Removal of membrane of retina with removal of internal limiting membrane of retina, Removal of recurring cataract in lens capsule using a laser, Repair of detached retina with drainage and removal of eye fluid between lens and retina, Repair of tendon of upper eyelid, Revision of peripheral neurostimulator electrodes, Revision of peripheral or gastric neurostimulator generator and Transplantation of outer layer of corneal tissue.

The provider's CLIA number is 25D0971993 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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