ST. LUCY'S OUTPATIENT SURGERY CENTER, LLC
NPI 1326047101
Clinic/Center - Ophthalmologic Surgery in Port Charlotte, FL
NPI Status: Active since July 14, 2005
Contact Information
21275 OLEAN BLVD
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 625-1325
Fax: (941) 625-0131
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- Ophthalmologic Surgery
- Accepts Insurance
- CLIA Number: 10D0720994
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-31-2026
About ST. LUCY'S OUTPATIENT SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for St. Lucy's Outpatient Surgery Center, Llc, a provider established in Port Charlotte, Florida operating as a Clinic/center, focusing in ophthalmologic surgery . The healthcare provider is registered in the NPI registry with number 1326047101 assigned on July 2005. The practitioner's primary taxonomy code is 261QS0132X. The provider is registered as an organization and their NPI record was last updated July 2025. The provider's
- NPI
- 1326047101
- Provider Legal Name
- ST. LUCY'S OUTPATIENT SURGERY CENTER, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952
- Location Phone
- (941) 625-1325
- Location Fax
- (941) 625-0131
- Mailing Address
- PO BOX 11407 BIRMINGHAM, AL 35246
- Mailing Phone
- (941) 625-1325
- Mailing Fax
- (941) 625-0131
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-14-2005
- Last Update Date
- 07-17-2025
- 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 Ophthalmologic Surgery
- Taxonomy Code
- 261QS0132X
- 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:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + 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
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
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 |
|---|---|---|---|
| 79068100 | MEDICAID (05) | FL |
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.
Complex removal of cataract with insertion of prosthetic lens
Extensive repair of turning-inward eyelid defect
Removal of cataract with insertion of prosthetic lens
Removal of excessive skin and fat of upper eyelid
Removal of recurring cataract in lens capsule using a laser
Repair of tendon of upper eyelid
Snip incision of tear duct at inner corner of eye
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 99 times for 71 patientsThis 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 12 times for 11 patientsThis 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 764 times for 441 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 233 times for 122 patientsThis 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 197 times for 139 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 17 times for 14 patientsThis procedure involves making a small cut in your tear duct, located at the inner corner of your eye. It's typically done to relieve blockage, helping tears drain properly from your eye. It's a common, quick procedure with minimal discomfort.
This service was performed 32 times for 24 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
- 10D0720994
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- SARA BIJAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Lucy's Outpatient 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.
Reviews for ST. LUCY'S OUTPATIENT SURGERY CENTER, LLC
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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 | 3 | 2 | 6 | 0 | 4 | 7 | 1 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 0 | 4 | 14 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 0 + 4 + 1 + 4 + 1 + 0 + 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 1326047101 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 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447258256 | DR. JOSEPH WILLIAM SPADAFORA D.O. Individual | Ophthalmology | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
| 1225106081 | MICHAEL A BASKIND CRNA Individual | Nurse Anesthetist, Certified Registered | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 624-5559 |
| 1255648747 | DR. NICOLE ELIZABETH ALESSI O.D. Individual | Optometrist | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
| 1659733392 | COMMUNITY EYE DISPENSARY Organization | Non-Pharmacy Dispensing Site | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (727) 755-0693 |
| 1770582835 | COMMUNITY EYE OPTICAL LC Organization | Eyewear Supplier | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1960 |
| 1073656989 | GULF COAST ANESTHESIA INC. Organization | Nurse Anesthetist, Certified Registered | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 624-5559 |
| 1083613095 | COMMUNITY EYE CENTER PA Organization | Ophthalmology | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
| 1245238526 | DR. ERIC RICHARD SCHAIBLE M.D. Individual | Ophthalmology | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
| 1790193399 | DR. CHELSEA SPALDING O.D. Individual | Optometrist | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
| 1346658945 | DR. TYLER ROBERTS O.D. Individual | Optometrist | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
| 1104824473 | DR. JON K BATZER OD Individual | Optometrist | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
| 1811950439 | CHERYL SIMONEAU O.D. Individual | Optometrist | 21275 OLEAN BLVD PORT CHARLOTTE, FL 33952 (941) 625-1325 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326047101, enumerated in the NPI registry as an "organization" on July 14, 2005
The provider is located at 21275 Olean Blvd Port Charlotte, Fl 33952 and the phone number is (941) 625-1325
This medical organization specializes in Clinic/Center with taxonomy code 261QS0132X with a focus in Ophthalmologic Surgery
The provider might be accepting Accepts: Aetna CVS Health, Ambetter Health, Ambetter of. 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: Complex removal of cataract with insertion of prosthetic lens, Extensive repair of turning-inward eyelid defect, Removal of cataract with insertion of prosthetic lens, Removal of excessive skin and fat of upper eyelid, Removal of recurring cataract in lens capsule using a laser, Repair of tendon of upper eyelid and Snip incision of tear duct at inner corner of eye.
The provider's CLIA number is 10D0720994 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 14, 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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