Organization Active NPI

Eye Care Group of Lancaster LLC

  • Ophthalmology Physician
  • Lancaster, PA
National Provider Identifier
1194914820
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD069909L Issued in PA
Legal business name
EYE CARE GROUP OF LANCASTER LLC
Practice address
330 Centerville Rd
Lancaster, PA 17601-1326
Phone
(717) 207-0166
Fax
(717) 509-3535
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Spage YeeNPI 1295737500
Title
Member
Phone
(717) 207-0166

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 MD069909L PA Primary

Addresses

Primary practice location

330 Centerville Rd
Lancaster, PA 17601-1326

Mailing address

330 Centerville Road
Lancaster, PA 17601-1326

Other identifiers 1

IdentifierTypeStateIssuer
125017OtherPAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080613000023 PA Part B Supplier - Clinic/Group Practice 3274604541 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

330 Centerville Ct
Lancaster, PA 17601
Phone (717) 207-0166

Practitioners & affiliated clinicians

Practitioners 1

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1194914820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CENTERVILLE ROAD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011326",
            "fax_number": "717-509-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011326",
            "telephone_number": "717-207-0166",
            "fax_number": "717-509-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE GROUP OF LANCASTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "SPAGE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "717-207-0166",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD069909L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "125017",
            "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 Dec 30, 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.