Active NPI
Ophthalmology Surgical Center, Inc
Doing business as Ophthalmology Surgery Center
- Ambulatory Surgical Clinic/Center
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- OPHTHALMOLOGY SURGICAL CENTER, INC
- Doing business as
- Ophthalmology Surgery Center
- Practice address
- 92 Tuscarora St
2ND Floor
Harrisburg, PA 17104-1667 - Phone
- (717) 233-2020
- Fax
- (717) 233-0825
- NPI assigned
- Aug 15, 2005
- Last updated
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cambria Krovic
- Title
- Managed Care Contract Specialist
- Phone
- (717) 233-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
92 Tuscarora St
2ND Floor
Harrisburg, PA 17104-1667
Mailing address
92 Tuscarora St
2ND Floor
Harrisburg, PA 17104-1667
Phone (717) 233-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1473012 | Medicaid | PA |
Other names 1
- Ophthalmology Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061129000513 | PA | Part B Supplier - Ambulatory Surgical Center | 4587662556 | Practice locations: Harrisburg, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Ophthalmology Surgical Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0898158 | Ophthalmology Surgical Center Inc | Certificate of waiver | Feb 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
92 Tuscarora St
Fl 2
Harrisburg, PA 17104
Phone (717) 233-2020
92 Tuscarora St
Ste 2
Harrisburg, PA 17104
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Harrisburg, PA
- NPI 1003818329
-
- Optometrist
- Harrisburg, PA
- NPI 1336141654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1174525521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 TUSCARORA ST",
"address_2": "2ND FLOOR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041667",
"telephone_number": "717-233-2020",
"fax_number": "717-233-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 TUSCARORA ST",
"address_2": "2ND FLOOR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041667",
"telephone_number": "717-233-2020",
"fax_number": "717-233-0825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGY SURGICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "KROVIC",
"authorized_official_first_name": "CAMBRIA",
"authorized_official_title_or_position": "MANAGED CARE CONTRACT SPECIALIST",
"authorized_official_telephone_number": "717-233-2020",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1473012",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ophthalmology Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.