Pa Eye & Ear Surgery Center, Llc

LBN: Pennsylvania Eye & Ear Surgery
Pa Eye & Ear Surgery Center, Llc is an health care organization with primary practice located at 1 Granite Point Dr Suite 200, Wyomissing PA 19610-1986. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Pennsylvania Eye & Ear Surgery can be contacted via phone (610) 685-9204, or through O'Donnell, David L via phone (610) 378-1348.

Contact Information

Primary practice address
1 Granite Point Dr Suite 200 Wyomissing PA 19610-1986
Phone: (610) 685-9204
Fax: (610) 685-5308
Website:
Map and Directions
Authorized official contact:
Name: O'Donnell, David L M.B.A.
Phone: (610) 378-1348

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1609848472
LBN Legal business name Pennsylvania Eye & Ear Surgery
DBA Doing business as Pa Eye & Ear Surgery Center, Llc
Authorized official O'Donnell, David L M.B.A.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
Last updated Jun 19th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609848472 NPPES
Pennsylvania MEDICAID 1012118620001

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