Del Val ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DEL VAL ASC LLC

Practice address

200 Mall Blvd
King of Prussia, PA 19406-2902

Phone

(610) 337-1580

Fax

(610) 337-2133

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Kim Miller

Title

Billing Manager

Phone

(610) 491-2127

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Eye Surgery Center Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Del Val ASC Dba the Eye Surgery CenterCCN 39C0001196

Medicare certification status

ActiveFrom the Provider of Services file

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1902907371

  Member Of

  NPD member
• Delaware Vision Associates Group Practice PA

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1083705230

  Member Of

  NPD member
• Erie Retinal Surgery, Inc.

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1457313868

  Member Of

  NPD member
• Philadelphia Vision Associates Group Practice LLC

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1578664959

  Member Of

  NPD member

Locations

Practitioners 1

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

• Neha Raparla, MD

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1790281376

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215028469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL VAL ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-491-2127"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014257330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Denisse Dececco, FNP-C
• Julia Grace Decker, LPC
• Jenelle Deets
• Jennifer Defnet
• Gregory Krikor Deirmengian, MD
• Delaware Valley Vision Associates Group Practice LLC
• Delaware Valley Vision Associates Group Practice, LLC
• Delaware Vision Associates Group Practice PA
• Kathryn Delone
• Delphi Medical Group

• Ambulatory Surgical Clinic/Center in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.