LAKEVIEW SURGERY CENTER LLC NPI 1629429410

NPI Details

LAKEVIEW SURGERY CENTER LLC is an ambulatory surgical clinic center in Bowie, MD. LAKEVIEW SURGERY CENTER LLC NPI is 1629429410. The provider is registered as an organization entity type.

The provider's business location address is:

17001 SCIENCE DR
SUITE 114
BOWIE, MD
ZIP 20715-329
Phone: (301) 860-1090

The provider's authorized official is Steven Madreperla .
The authorized official title is President And Ceo and has the following contact phone number (908) 458-8333.

The CLIA number assigned to this NPI record is 21D2135313 - 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)
• Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
• Incision to improve eye fluid flow (HCPCS:65820)
• Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
• Laser repair to improve eye fluid flow (HCPCS:65855)
• Creation of eye fluid drainage tract for treatment of glaucoma (HCPCS:66170)
• Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
• Creation of shunt to improve eye fluid flow (HCPCS:66179)
• Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
• Removal of membrane of retina (HCPCS:67041)
• Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
• Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
• Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
• Processing, preserving and transporting corneal tissue (HCPCS:V2785)
• Transplantation of outer layer of corneal tissue (HCPCS:65756)
• Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
• Dilation to improve eye fluid flow (HCPCS:66174)
• Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)

The enumeration date for this NPI number is 6/23/2016 and was last updated on 10/8/2025.

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: