Provider Demographics
NPI:1487221404
Name:EYE SURGICAL SERVICES LLC
Entity Type:Organization
Organization Name:EYE SURGICAL SERVICES LLC
Other - Org Name:GATEWAY SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEKWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-735-0200
Mailing Address - Street 1:10296 BIG BEND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6425
Mailing Address - Country:US
Mailing Address - Phone:314-735-0200
Mailing Address - Fax:
Practice Address - Street 1:10296 BIG BEND RD STE 100
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-6425
Practice Address - Country:US
Practice Address - Phone:314-735-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical