PENINSULA EYE CENTER PA – NPI #1164546974
Ophthalmology

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 is an ophthalmologist located in SALISBURY, MD. NPPES has assigned the NPI number 1164546974 to PENINSULA EYE CENTER PA on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PENINSULA EYE SURGEONS PA MEDICAL CENTER. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 10 years ago on Nov 14, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENINSULA EYE CENTER PA below.

NPI Profile for
PENINSULA EYE CENTER PA

NPI Number
1164546974
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENINSULA EYE CENTER PA
Former Legal Business Name: PENINSULA EYE SURGEONS PA MEDICAL CENTER
Primary location
101 MILFORD STREET
SALISBURY, MD 21804
Phone: (410) 749-9290 Fax: (410) 543-9087
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GARY LUPPENS
PRESIDENT
Phone: (410) 749-9290
Updated
Identifiers

Identifiers for PENINSULA EYE CENTER PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERCAREFIRST BLUE SHIELDMDH788PE
OTHERCAREFIRST BS-FEDERALT699
OTHERMAMSI-UNITED HEALTH CARE20885
MEDICAIDDE0000134502
MEDICAIDMD915111700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.