Gary P Luppens, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0022099 Issued in MD

Practice address

101 Milford St
Salisbury, MD 21804-6952

Phone

(410) 749-9290

Fax

(410) 543-9087

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peninsula Eye Center, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Salisbury, MD
  • NPI 1962536896
  NPD (past) Authorized official
• Peninsula Eye Center, P.a

  • Ambulatory Surgical Clinic/Center
  • Salisbury, MD
  • NPI 1811059306
  NPD
• Sussex Eye Center PA

  • Optometrist
  • Georgetown, DE
  • NPI 1427090570
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1215099759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILFORD ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046952",
            "telephone_number": "410-749-9290",
            "fax_number": "410-543-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILFORD ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046952",
            "telephone_number": "410-749-9290",
            "fax_number": "410-543-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPPENS",
        "first_name": "GARY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0022099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "T6990004",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "20886",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961001400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000090501",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006340709",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "331190",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4410364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macda Amare Lucas
• Dorothy Irene Ludwig, NURSING ASSISTANT
• Alexandra Wyatt Lujan Naissant, MD
• Katie Lynne Lukehart, LCPC
• David Luppens, D.D.S
• Kelli Renee Luttrell, D.O.
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Lynn F Ascher P a
• Lynn'S Compassion to Care, LLC

• Ophthalmology Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.