Healthcare Provider Details

I. General information

NPI: 1538082508
Provider Name (Legal Business Name): KANSAS EYE SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S OHIO ST
SALINA KS
67401-7976
US

IV. Provider business mailing address

901 N MAIN ST
MCPHERSON KS
67460-2841
US

V. Phone/Fax

Practice location:
  • Phone: 620-245-0556
  • Fax: 620-245-0503
Mailing address:
  • Phone: 620-245-0556
  • Fax: 620-245-0503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ESTHER V RETTIG
Title or Position: OWNER
Credential: MD
Phone: 620-245-0556