Provider Demographics
NPI:1710213400
Name:VISION SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:VISION SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:PAJKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-886-2020
Mailing Address - Street 1:6355 PEARL RD
Mailing Address - Street 2:#B
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3000
Mailing Address - Country:US
Mailing Address - Phone:440-886-1010
Mailing Address - Fax:440-886-1025
Practice Address - Street 1:6355 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3000
Practice Address - Country:US
Practice Address - Phone:440-886-1010
Practice Address - Fax:440-886-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1830523261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical