Provider Demographics
NPI:1346254208
Name:EYE SURGERY CENTER OF WARRENSBURG INC
Entity Type:Organization
Organization Name:EYE SURGERY CENTER OF WARRENSBURG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BYARS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:660-747-1888
Mailing Address - Street 1:422 NE POINT DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1587
Mailing Address - Country:US
Mailing Address - Phone:816-373-5631
Mailing Address - Fax:660-747-1223
Practice Address - Street 1:506 BURKARTH RD
Practice Address - Street 2:STE B
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-3104
Practice Address - Country:US
Practice Address - Phone:660-747-1888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO78-10261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO6260000Medicare ID - Type UnspecifiedGROUP #
MOC51278Medicare UPIN