Abroms Dougherty Vision Asc LLC
NPI 1790384303 · Ambulatory Surgical Clinic/Center · San Luis Obispo, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Abroms Dougherty Vision Asc LLC is a Ambulatory Surgical Clinic/Center organization in San Luis Obispo, CA (NPI 1790384303).
Provider details
- NPI number
- 1790384303
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clifton Bazhaw, Chief Revenue Officer(214) 893-0471
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
869 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 358 | $1,351 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 322 | $345 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 82 | $1,355 |
| Dilation of Fluid Outflow Drainage Within Eye66174 | 39 | $1,170 |
| Extracapsular Removal of Cataract With Insertion of Artificial Lens and Insertion of Drainage Device in Front Chamber of Eye66991 | 35 | $4,271 |
| Incision of Cornea to Correct Astigmatism65772 | 33 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Abroms Dougherty Vision Asc LLC's NPI number?
- Abroms Dougherty Vision Asc LLC's National Provider Identifier (NPI) is 1790384303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abroms Dougherty Vision Asc LLC?
- Abroms Dougherty Vision Asc LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Abroms Dougherty Vision Asc LLC located?
- Abroms Dougherty Vision Asc LLC's practice location on file with NPPES is 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7990.
- What is Abroms Dougherty Vision Asc LLC's phone number?
- The practice phone number listed in the NPPES registry for Abroms Dougherty Vision Asc LLC is (805) 548-1051.
- Does Abroms Dougherty Vision Asc LLC accept Medicare?
- Abroms Dougherty Vision Asc LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Abroms Dougherty Vision Asc LLC?
- The authorized official listed on Abroms Dougherty Vision Asc LLC's NPPES record is Clifton Bazhaw, Chief Revenue Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abroms Dougherty Vision Asc LLC's NPI active?
- Yes — Abroms Dougherty Vision Asc LLC's NPI (1790384303) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.