NPIMap

Organization Active NPI

Erie Retinal Surgery, Inc.

  • Ophthalmology Physician
  • Erie, PA
National Provider Identifier
1457313868
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ERIE RETINAL SURGERY, INC.
Practice address
300 State St
Suite 201
Erie, PA 16507-1427
Phone
(814) 456-4241
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Dr. James P Dailey, M.D.NPI 1194720714
Title
President
Phone
(814) 456-4241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

300 State St
Suite 201
Erie, PA 16507-1427

Mailing address

300 State St
Suite 201
Erie, PA 16507-1427
Phone (814) 456-4241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000176 PA Part B Supplier - Clinic/Group Practice 0941286595 Receives reassigned benefits from 11 practitioners
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

300 State St
Erie, PA 16507
Phone (814) 453-4575

300 State St
Ste 201
Erie, PA 16507
Phone (814) 456-4241

1018 W 9th Ave
Ste 100
King of Prussia, PA 19406
Phone (610) 337-1580

Interoperability endpoints

  • Direct secure messaging: asilva@erieretinal.intellechartdirect.net
  • Direct secure messaging: dbabel@erieretinal.intellechartdirect.net
  • Direct secure messaging: rpandit@erieretinal.intellechartdirect.net
  • Direct secure messaging: hkhojasteh@erieretinal.intellechartdirect.net
  • Direct secure messaging: nadams@erieretinal.intellechartdirect.net
  • Direct secure messaging: rbaldwin@erieretinal.intellechartdirect.net
  • Direct secure messaging: jkulits@erieretinal.intellechartdirect.net
  • Direct secure messaging: ethall@erieretinal.intellechartdirect.net
  • Direct secure messaging: msingh@erieretinal.intellechartdirect.net
  • Direct secure messaging: rmousa@erieretinal.intellechartdirect.net
  • Direct secure messaging: ffatica@erieretinal.intellechartdirect.net
  • Direct secure messaging: jdailey@erieretinal.intellechartdirect.net
  • Direct secure messaging: knovak@erieretinal.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1457313868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-456-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-456-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE RETINAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-456-4241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.