PENNSYLVANIA EYE & EAR SURGERY NPI 1609848472

NPI Information

  • NPI: 1609848472
  • Provider Name: PENNSYLVANIA EYE & EAR SURGERY
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: PA EYE & EAR SURGERY CENTER, LLC
  • CLIA Number: 39D1010108
  • Address: 1 GRANITE POINT DR
    SUITE 200
    WYOMISSING, PA
    ZIP 19610
  • Phone: (610) 685-9204

Map and Directions

Get Directions

NPI Details

PENNSYLVANIA EYE & EAR SURGERY is an ambulatory surgical clinic center in Wyomissing, PA. PENNSYLVANIA EYE & EAR SURGERY NPI is 1609848472. The provider is registered as an organization entity type.
The provider Other Name Is Pa Eye & Ear Surgery Center, Llc.

The provider's business location address is:

1 GRANITE POINT DR
SUITE 200
WYOMISSING, PA
ZIP 19610-986
Phone: (610) 685-9204
Fax: (610) 685-5308

The provider's authorized official is David L O'donnell .
The authorized official title is Administrator and has the following contact phone number (610) 378-1348.

The CLIA number assigned to this NPI record is 39D1010108 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Reshaping of nasal cartilage (HCPCS:30520)

The enumeration date for this NPI number is 2/6/2006 and was last updated on 6/19/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11012118620001MEDICAIDPENNSYLVANIA
2071325MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.