Organization Active NPI

Sltlbk Associates, LLC

Doing business as Valley Eye Surgical Center

  • Ophthalmologic Surgery Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1437104718
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
2033 Issued in PA
Legal business name
SLTLBK ASSOCIATES, LLC
Doing business as
Valley Eye Surgical Center
Practice address
1685 Valley Center Pkwy
Bethlehem, PA 18017-2278
Phone
(610) 867-8760
Fax
(610) 867-8340
NPI assigned
May 24, 2006
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Tami Santora
Title
Ao
Phone
(516) 877-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 2033 PA Primary

Addresses

Primary practice location

1685 Valley Center Pkwy
Bethlehem, PA 18017-2278

Mailing address

825 E Gate Blvd Ste 111
Garden City, NY 11530-2136
Phone (516) 804-5200

Other identifiers 2

IdentifierTypeStateIssuer
1015540240001MedicaidPA
1789690OtherPAHIGHMARK BCBS

Other names 1

  • Valley Eye Surgical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060104000875 PA Part B Supplier - Ambulatory Surgical Center 8224051305 Practice locations: Bethlehem, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Valley Eye Surgical CenterCCN 39C0001200
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1046344Valley Eye Surgical Center1685 Valley Center Pkwy, Bethlehem, PA 18017Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

1685 Valley Center Pkwy
Bethlehem, PA 18017
Phone (610) 867-8760

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1437104718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-804-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 VALLEY CENTER PKWY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172278",
            "telephone_number": "610-867-8760",
            "fax_number": "610-867-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLTLBK ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "SANTORA",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "516-877-2400"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PA",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015540240001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "1789690",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Eye Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Eye Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.