MEDICARE: VISION SURGERY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	1830523	OH

General Provider Information

NPI Number	:	1710213400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION SURGERY CENTER, LLC

Provider Business Mailing Address
First Line	:	6355 PEARL RD
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3000
Country	:	US
Telephone Number	:	440-886-1010
Fax Number	:	440-886-1025

Provider Business Practice Location Address
First Line	:	6357 PEARL RD
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3000
Country	:	US
Telephone Number	:	440-886-1010
Fax Number	:	440-886-1025

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STANLEY F PAJKA
Credential	:	M.D.
Telephone Number	:	440-886-2020

Provider Enumeration Date	:	10/30/2009
Last Update Date	:	03/13/2026

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