Dover Ophthalmology ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

FSSC-005 Issued in DE

Legal business name

DOVER OPHTHALMOLOGY ASC, LLC

Doing business as

Blue Hen Surgery Center

Practice address

655 S Bay Rd
Suite 5B
Dover, DE 19901-4615

Phone

(302) 678-4688

Fax

(302) 678-4625

NPI assigned

Feb 9, 2006

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Clendenin

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue Hen Surgery Center Doing business as

Practitioners 4

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.

• Vivian L Griffin, MD

  • Anesthesiology Physician
  • Dover, DE
  • NPI 1124051958
  NPD (past)
• Roderick M Relova, D.O.

  • Anesthesiology Physician
  • Seaford, DE
  • NPI 1073532214
  NPD (past)
• Gary A Wessel, CRNA

  • Certified Registered Nurse Anesthetist
  • Dover, DE
  • NPI 1053400275
  NPD (past)
• Rodrigo Herreros, M.D.

  • Anesthesiology Physician
  • Rancho Mirage, CA
  • NPI 1528084027
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1396718318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD.",
            "address_2": "SUITE 500, ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156176",
            "telephone_number": "615-665-1283",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S BAY RD",
            "address_2": "SUITE 5B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014615",
            "telephone_number": "302-678-4688",
            "fax_number": "302-678-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER OPHTHALMOLOGY ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "DE",
            "license": "FSSC-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001148628",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Hen Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dover Family Chiropractic
• Dover Family Physicians PA
• Dover Health Care Associates Inc (Silver Lake Center)
• Dover Health Care Center
• Dover OB-GYN Associates LLC
• Dover Oral and Maxillofacial Surgery
• Dover Podiatry Group, P.a.
• Dover Pulmonary, P.a.
• Dover Surgical Associates,P.a.
• Dover Surgicenter, LLC

• Ambulatory Surgical Clinic/Center in Dover, DE
• Providers in Dover, DE by specialty
• Ambulatory Surgical Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.