AESTHETIC SURGERY CENTER OF EUGENE INC
NPI 1174520191
Clinic/Center - Ambulatory Surgical in Eugene, OR
NPI Status: Active since July 05, 2005
Contact Information
2550 WILLAKENZIE RD
EUGENE, OR
ZIP 97401
Phone: (541) 434-0922
Fax: (541) 434-4369
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 38D1008460
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 01-20-2027
About AESTHETIC SURGERY CENTER OF EUGENE INC
This page provides the complete NPI Profile along with additional information for Aesthetic Surgery Center Of Eugene Inc, a provider established in Eugene, Oregon operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174520191 assigned on July 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 071545 (OR). The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Blake V Fausett Md, Phd (Owner/medical Director)
- NPI
- 1174520191
- Provider Name
- AESTHETIC SURGERY CENTER OF EUGENE INC
- Entity Type
- Organization
- Location Address
- 2550 WILLAKENZIE RD EUGENE, OR 97401
- Location Phone
- (541) 434-0922
- Location Fax
- (541) 434-4369
- Mailing Address
- 2550 WILLAKENZIE RD EUGENE, OR 97401
- Mailing Phone
- (541) 434-0922
- Mailing Fax
- (541) 434-4369
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-05-2005
- Last Update Date
- 06-05-2025
- Code Navigator
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
- License No.
- 071545
- License State
- OR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 298045 | MEDICAID (05) | OR |
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.
Extensive repair of turning-outward eyelid defect
Removal of excessive skin and fat of upper eyelid
Repair of tendon of upper eyelid
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
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 38 times for 27 patientsThis 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 77 times for 41 patientsRepair 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 78 times for 40 patientsThis procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
This service was performed 13 times for 12 patientsCLIA 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
- 38D1008460
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- January 21, 2025
- Certificate Expiration Date
- January 20, 2027
- Laboratory Director
- BLAKE V. FAUSETT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aesthetic Surgery Center Of Eugene Inc 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.
Reviews for AESTHETIC SURGERY CENTER OF EUGENE INC
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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. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 2 | 0 | 1 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 2 | 0 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 0 + 1 + 1 + 8 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1174520191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174522924 | DR. DAVID BREWER ANDERSON DDS Individual | Dentist | 2550 WILLAKENZIE RD EUGENE, OR 97401 (541) 343-5512 |
| 1275530297 | MR. JOHN HUNTS MD PHD Individual | Specialist | 2550 WILLAKENZIE RD EUGENE, OR 97401 (541) 434-0922 |
| 1043449481 | BLAKE V FAUSETT M.D Individual | Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery) | 2550 WILLAKENZIE RD EUGENE, OR 97401 (541) 434-0922 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174520191, enumerated in the NPI registry as an "organization" on July 05, 2005
The provider is located at 2550 Willakenzie Rd Eugene, Or 97401 and the phone number is (541) 434-0922
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. 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: Extensive repair of turning-outward eyelid defect, Removal of excessive skin and fat of upper eyelid, Repair of tendon of upper eyelid and Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less.
The provider's CLIA number is 38D1008460 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 July 05, 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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