Organization Active NPI

Delaware Eye Surgeons PA

  • Corneal and Contact Management Optometrist
  • Wilmington, DE
National Provider Identifier
1609956846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1991027605 Issued in DE
Legal business name
DELAWARE EYE SURGEONS PA
Practice address
2710 Centerville Rd
Suite 102
Wilmington, DE 19808-1644
Phone
(302) 993-1300
Fax
(302) 993-1400
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
S. Gregory Smith, MD
Title
Ophthalmologist
Phone
(302) 993-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1991027605 DE Primary

Addresses

Primary practice location

2710 Centerville Rd
Suite 102
Wilmington, DE 19808-1644

Mailing address

2710 Centerville Rd
Suite 102
Wilmington, DE 19808-1644
Phone (302) 993-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070326000122 DE Part B Supplier - Clinic/Group Practice 0244334605 Receives reassigned benefits from 8 practitioners
Practice locations: Bridgeville, DE; Wilmington, DE
O20100930097446 DE DME Supplier - Physician - OphthalmologyDME Supplier - Optician 0244334605 Practice locations: Wilmington, DE

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
08D2104903Delaware Eye Surgeons, PA2710 Centerville Rd, Ste 102, Wilmington, DE 19808Certificate of waiverNov 15, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Delaware Eye Surgeons PA2710 Centerville Rd, Wilmington, DE 19808-1652(302) 993-1300 Wheelchairs (Standard Manual)|Ocular Prostheses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1992

National Provider Directory

National Provider Directory

Locations

9111 Antique Aly
Unit 3
Bridgeville, DE 19933
Phone (302) 993-1300

2710 Centerville Rd
Ste 102
Wilmington, DE 19808
Phone (302) 993-1300

2300 Pennsylvania Ave
Ste 3A
Wilmington, DE 19806
Phone (302) 655-7600

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/07des9gf

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609956846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 CENTERVILLE RD",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081644",
            "telephone_number": "302-993-1300",
            "fax_number": "302-993-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 CENTERVILLE RD",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081644",
            "telephone_number": "302-993-1300",
            "fax_number": "302-993-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE EYE SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "302-993-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "DE",
            "license": "1991027605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.