Provider Demographics
NPI:1891313532
Name:ROCKINGHAM EYE SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ROCKINGHAM EYE SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-889-2040
Mailing Address - Street 1:2808 S INGRAM MILL RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4017
Mailing Address - Country:US
Mailing Address - Phone:417-889-2040
Mailing Address - Fax:
Practice Address - Street 1:1690 B SPRING PORT DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-2280
Practice Address - Country:US
Practice Address - Phone:540-433-2485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical