NPI: 1396828323 · MEMPHIS, TN 38119 · Ambulatory Surgical Clinic/Center · NPI assigned 10/23/2006
| Authorized Official | GOLLAMUDI, SUBBA (CHAIRMAN AND MANAGER) |
| NPI Enumeration Date | 10/23/2006 |
Other providers sharing the same authorized official: GOLLAMUDI, SUBBA
| Provider | City | State | Total Paid |
|---|---|---|---|
| VRF EYE SPECIALTY GROUP, PLC | MEMPHIS | TN | $2.53M |
| RIDGE LAKE ASC, LLC | MEMPHIS | TN | $390K |
| EYE CARE SURGERY CENTER OF SOUTHAVEN,LLC | SOUTHAVEN | MS | $153K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21 | $940.13 |
| 2020 | 22 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 67228 | 43 | 27 | $3K |