Peter G Gross MD PHD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD029947E Issued in PA

Legal business name

PETER G GROSS MD PHD PC

Doing business as

Eye Star Vision Center

Practice address

958 County Line Rd
Conestoga Medical Building Suite 106
Bryn Mawr, PA 19010-2585

Phone

(610) 525-8282

Fax

(610) 525-7766

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter George Gross, M.D., PH.D.NPI 1487718201

Title

President

Phone

(610) 636-1874

Specialties & licenses 2

Addresses

Other names 1

• EYE STAR VISION CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Peter G Gross, M.D.

  • Ophthalmology Physician
  • Bryn Mawr, PA
  • NPI 1487718201
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Eva Gross, M.D.

  • Ophthalmology Physician
  • Springfield, PA
  • NPI 1295729762
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1336310226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 COUNTY LINE RD",
            "address_2": "CONESTOGA MEDICAL BUILDING SUITE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102585",
            "telephone_number": "610-525-8282",
            "fax_number": "610-525-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 COUNTY LINE RD",
            "address_2": "CONESTOGA MEDICAL BUILDING SUITE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102585",
            "telephone_number": "610-525-8282",
            "fax_number": "610-525-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER G GROSS MD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-636-1874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD029947E",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE STAR VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine E Pensyl, PA-C
• Chloe Perate, PA-C
• Jennifer Perkins
• Emily Perlis, PSY.D.
• Colette Nichole Pester-Phillips, RD, LDN
• Lee A Petroski
• William H Pfeffer, M.D.
• Andrew Pfleger
• Linnea Phillips, CNM, WHNP
• Chloe Phipps, OTR/L

• Ophthalmology Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.