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PENINSULA EYE CENTER PA NPI 1164546974


NPI Information

NPI: 1164546974
Provider Name: PENINSULA EYE CENTER PA

Former Legal Business Name: PENINSULA EYE SURGEONS PA MEDICAL CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
101 MILFORD STREET
SALISBURY, MD
ZIP 21804
Phone: (410) 749-9290
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PENINSULA EYE CENTER PA is an ophthalmology in Salisbury, MD. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PENINSULA EYE CENTER PA NPI is 1164546974. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Peninsula Eye Surgeons Pa Medical Center.

The provider's business location address is:

101 MILFORD STREET
SALISBURY, MD
ZIP 21804
Phone: (410) 749-9290
Fax: (410) 543-9087

The provider's authorized official is Gary P Luppens .
The authorized official title is President and has the following contact phone number (410) 749-9290.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 11/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyNo
2207W00000XOphthalmologyMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1789836MEDICARE ID-TYPE UNSPECIFIEDDELAWAREGROUP #
2CE3197MEDICARE ID-TYPE UNSPECIFIEDRAILROAD
3H788PEOTHERMARYLANDCAREFIRST BLUE SHIELD
40000134502MEDICAIDDELAWARE
520885OTHERMAMSI-UNITED HEALTH CARE
6T699OTHERCAREFIRST BS-FEDERAL
7915111700MEDICAIDMARYLAND
8H788MEDICARE ID-TYPE UNSPECIFIEDMARYLANDGROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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