Provider Demographics
NPI:1093716037
Name:CATARACT AND REFRACTIVE SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:CATARACT AND REFRACTIVE SURGERY CENTER, LLC
Other - Org Name:NOVAMED SURGERY CENTER OF RICHMOND, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AKSHAY
Authorized Official - Middle Name:V
Authorized Official - Last Name:DAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-285-0680
Mailing Address - Street 1:2010 BREMO RD
Mailing Address - Street 2:#132
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2444
Mailing Address - Country:US
Mailing Address - Phone:804-285-0680
Mailing Address - Fax:804-282-6365
Practice Address - Street 1:2010 BREMO ROAD
Practice Address - Street 2:SUITE 132
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-285-0680
Practice Address - Fax:804-282-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-01
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAOH 651261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
490005488OtherRR MEDICARE
VA7604131Medicaid
490005488OtherRR MEDICARE