Organization Active NPI

Eye Physicians of Lancaster PC

  • Ophthalmology Physician
  • Lancaster, PA
National Provider Identifier
1003845231
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS OF LANCASTER PC
Practice address
810 Plaza Blvd
Ste 103
Lancaster, PA 17601-2738
Phone
(717) 735-6700
Fax
(717) 735-8113
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Frank Krulewski, MD PHDNPI 1861480170
Title
President
Phone
(717) 735-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

810 Plaza Blvd
Ste 103
Lancaster, PA 17601-2738

Mailing address

810 Plaza Blvd
Ste 103
Lancaster, PA 17601-2738
Phone (717) 735-6700

Other identifiers 1

IdentifierTypeStateIssuer
0014694590002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000959 PA Part B Supplier - Clinic/Group Practice 2769465475 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

810 Plaza Blvd
Ste 103
Lancaster, PA 17601
Phone (717) 735-6700

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_eyephysicianslancaster

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1003845231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PLAZA BLVD",
            "address_2": "STE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012738",
            "telephone_number": "717-735-6700",
            "fax_number": "717-735-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PLAZA BLVD",
            "address_2": "STE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012738",
            "telephone_number": "717-735-6700",
            "fax_number": "717-735-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF LANCASTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KRULEWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-735-6700",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014694590002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.