Liberty Eye Surgical Center Llc
LBN: Liberty Eye Surgical Center Llc
Liberty Eye Surgical Center Llc is an health care organization with primary practice located at 9122 Blue Grass Rd , Philadelphia PA 19114-3202. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Liberty Eye Surgical Center Llc can be contacted via phone (215) 673-9231, or through Slochower, Dennis via phone (215) 673-9231.
Contact Information
Primary practice address
9122 Blue Grass Rd
Philadelphia PA 19114-3202
Phone: (215) 673-9231
Fax: (215) 673-9236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 17401501 | Pennsylvania |
Profile Details
| NPI number | 1447218433 |
|---|---|
| LBN Legal business name | Liberty Eye Surgical Center Llc |
| DBA Doing business as | |
| Authorized official | Slochower, Dennis Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Dec 9th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447218433 | NPPES |
| Pennsylvania | Other | 3562638 | AETNA HEALTHCARE |
| Pennsylvania | Other | 0001624000 | AETNA HEALTHCARE |
| Pennsylvania | Other | 0001624000 | AETNA HEALTHCARE |
| Pennsylvania | MEDICAID | 35387 | AETNA HEALTHCARE |
| Pennsylvania | MEDICAID | 100964206001 | AETNA HEALTHCARE |
| Pennsylvania | MEDICAID | 30019554 | AETNA HEALTHCARE |
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